Individual
MS. DENA M JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5001 MONONA DR, MONONA, WI 53716-2636
(608) 226-5038
(608) 226-5034
Mailing address
811 WHISPERING OAKS RD, OREGON, WI 53575-2670
(608) 835-8001
(608) 226-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11388
WI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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