Individual
STEPHANIE RUTH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
26 RICHMOND AVE, MEDFORD, OR 97504-7639
(524) 951-6243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014925
OR
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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