Individual
LUKE ANTHONY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1330 US HIGHWAY 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
Mailing address
316 NORTH RD, NEGAUNEE, MI 49866-9505
(906) 204-4810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415468
MI
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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