Organization
ART JACOB PRESCRIPTION SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR G. JACOB RPH (PRESIDENT)
(502) 897-6591
Entity
Organization
Contact information
Practice address
3924 DUPONT SQ S, STE D, LOUISVILLE, KY 40207-5912
(502) 897-6591
(502) 895-2781
Mailing address
3924 DUPONT SQ S, STE D, LOUISVILLE, KY 40207-5912
(502) 897-6591
(502) 895-2781
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P01099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1809841
NABP
KY
Enumeration date
01/22/2007
Last updated
08/22/2020
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