Individual
STEPHANIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7312 N 30TH ST, OMAHA, NE 68112-2821
(402) 451-3980
(402) 451-3451
Mailing address
7312 N 30TH ST, OMAHA, NE 68112-2821
(402) 451-3980
(402) 451-3451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11480
NE
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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