Individual
JACOB WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(440) 743-3004
Mailing address
3877 EVELYN DR, NORTH OLMSTED, OH 44070-2134
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03444814
OH
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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