Individual
MR. HOWARD PAUL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5256 MIRROR LAKE CT, 23077 GREENFIELD ROAD SUITE 220, WEST BLOOMFIELD, MI 48323-1536
(248) 225-5283
Mailing address
5256 MIRROR LAKE CT, 23077 GREENFIELD ROAD SUITE 220, WEST BLOOMFIELD, MI 48323
(248) 225-5283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302021832
PHARMACIST LICENSE NUMBER
MI
Enumeration date
03/14/2007
Last updated
07/08/2007
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