Individual
JACOBY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
600 RICHLAND MALL STE 206, MANSFIELD, OH 44906-1246
(567) 247-0867
Mailing address
600 RICHLAND MALL STE 206, MANSFIELD, OH 44906-1246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337606
OH
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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