Individual
JACOB NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5795 STATE RD, PARMA, OH 44134
(440) 884-3549
Mailing address
5795 STATE RD, PARMA, OH 44134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03237298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03237298
PHARMACIST LICENSE
OH
Enumeration date
09/10/2017
Last updated
09/10/2017
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