Individual
ROBERTA M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
HWY 18, PHS INDIAN HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-5131
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NE 10197
NE
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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