Individual
MR. MICHAEL C JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3725 RIVERS AVE, SUITE 2, N CHARLESTON, SC 29405-7038
(843) 745-8650
(843) 554-5453
Mailing address
3725 RIVERS AVE STE 2, N CHARLESTON, SC 29405-7072
(843) 745-8650
(843) 554-5453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5560
PHARMACIST
SC
Enumeration date
05/30/2006
Last updated
03/19/2008
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