Individual
DR. JACOB PHILIP-REID DEITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
2182 DIVIDEND DR, COLUMBUS, OH 43228
(844) 386-2472
(888) 776-5018
Mailing address
15529 COLLEGE BLVD, LENEXA, KS 66219-1351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020469
KY
183500000X
Pharmacist
Primary
03233825
OH
Other
Enumeration date
04/26/2013
Last updated
03/07/2019
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