Individual
HELENE RUTH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0266
Mailing address
850 CRAWFORD PKWY, UNIT 1201, PORTSMOUTH, VA 23704-2304
(954) 319-0595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS43898
PHARMACIST LICENSE NUMBER
FL
Enumeration date
10/16/2008
Last updated
10/16/2008
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