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Organization
ROBERT JACOBSON PHARMACY LTD
Active
Organization
ROBERT JACOBSON PHARMACY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA M MATTOS RPH (SUPERVISING PHARMACIST / OWNER)
(914) 965-3049
Entity
Organization
Contact information
Practice address
231 ASHBURTON AVE, YONKERS, NY 10701-3227
(914) 965-3049
(914) 965-5246
Mailing address
231 ASHBURTON AVE, YONKERS, NY 10701-3227
(914) 965-3049
(914) 965-5246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00296171
—
NY
Enumeration date
10/11/2005
Last updated
04/22/2008
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