Organization
PHARMOBILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT JACOBS MD (MBR)
(317) 485-3117
Entity
Organization
Contact information
Practice address
8975 S 800 W, PENDLETON, IN 46064-9751
(317) 485-3117
(888) 322-9457
Mailing address
8975 S 800 W, PENDLETON, IN 46064-9751
(317) 485-3117
(888) 322-9457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01047166A
IN
Other
Enumeration date
01/23/2013
Last updated
06/03/2013
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