Individual
JEFFREY DOUGLAS JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-9912
(701) 297-0807
Mailing address
2301 34 1/2 AVE S, FARGO, ND 58104-6586
(701) 277-8431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4821
ND
Other
Enumeration date
05/26/2007
Last updated
09/25/2009
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