Individual
MR. BRIAN THOMAS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4515 E MOUNT MORRIS RD, MOUNT MORRIS, MI 48458-8737
(810) 640-2110
(810) 640-1560
Mailing address
4515 E MOUNT MORRIS RD, MOUNT MORRIS, MI 48458-8737
(810) 640-2110
(810) 640-1560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302020331
MI
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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