Individual
JANET L JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15500 HICKMAN RD, CLIVE, IA 50325-7983
(515) 987-0377
(515) 987-0532
Mailing address
5600 POMMEL PL, WEST DES MOINES, IA 50266-7573
(515) 226-0192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15035
IA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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