Kathleen Sue Jacoby R.PH.

NPI 1770772022 - Pharmacist - 183500000X

NPI Details
NPI 1770772022
Gender Female
Enumeration Date 10/22/2007
Last Updated 10/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3132 OLD JACKSONVILLE RD
SPRINGFIELD IL, 62704-7400, US
Phone (217) 862-0001
Fax (217) 862-0003
Business Location
1808 BLUE STONE DR
SPRINGFIELD IL, 62704-8719, US
Phone (217) 793-0129
Fax (217) 862-0001
Toxanomy
Taxonomy Code 183500000X
License State
License Number
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According to our database, Kathleen Sue Jacoby R.PH. NPI is 1770772022, taxonomy code is 183500000X Kathleen Sue Jacoby R.PH. physically located at 3132 Old Jacksonville Rd, Springfield IL, 62704-7400. NPI Number Kathleen Sue Jacoby R.PH. has the Individual type.

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1770772022 NPI number is provided on an as is basis without warranty of any kind. 1770772022 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Sue Jacoby R.PH. are for informational purposes only.