Individual
CASIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
6495 COUNTRY CLUB RD, MURPHYSBORO, IL 62966-5202
(618) 687-3478
(618) 687-3547
Mailing address
6495 COUNTRY CLUB RD, MURPHYSBORO, IL 62966-5202
(618) 687-3478
(618) 687-3547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299596
IL
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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