Individual
JACOB ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2353 N MAIN ST, SUNSET, UT 84015-2454
(801) 825-2262
Mailing address
481 W 500 N, CLEARFIELD, UT 84015-3943
(801) 513-8459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9549963-1701
UT
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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