Individual
DR. TIBB MARIE JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
LSU HEALTH SCIENCES CENTER, 1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5837
Mailing address
213 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8507
(318) 949-8592
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
17105
LA
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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