Individual
MR. DONALD L JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
701 N. FIRST ST., SPRINGFIELD, IL 62701
(217) 788-3015
Mailing address
1808 BLUE STONE DR, SPRINGFIELD, IL 62704-8719
(217) 793-0129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032161
IL
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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