Organization
JAKOBSON DRUG & HALLMARK SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAR JAKOBSON (OWNER, PHARMACIST)
(641) 732-5452
Entity
Organization
Contact information
Practice address
635 MAIN ST, OSAGE, IA 50461-1307
(641) 732-5452
Mailing address
635 MAIN ST, OSAGE, IA 50461-1307
(641) 732-5452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
521
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033993
—
IA
01
—
1614672
NABP
IA
Enumeration date
10/12/2006
Last updated
08/22/2020
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