Individual
CARMEN ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1601 CHERRY ST, SUITE 1700, PHILADELPHIA, PA 19102-1321
(215) 282-1600
Mailing address
142 CENTRAL AVE, GLENSIDE, PA 19038-1616
(215) 885-6463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041567L
PA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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