Michael Ivan Jacoby

Pharmacist · Dalton, PA

Individual Active NPI

NPI number 1548553167

Practice location

192 Locust Ln
Dalton, PA 18414-9557
Phone
(570) 563-3304

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NPI record

NPI
1548553167
Entity type
Individual (Type 1)
Enumeration date
May 16, 2011
Last updated
May 16, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RP-042563-L PA

About Michael Jacoby

Michael Ivan Jacoby is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 192 Locust Ln, Dalton, PA 18414-9557. The NPI number 1548553167 was assigned on May 16, 2011 and the record was last updated on May 16, 2011.

Michael Jacoby lists a license in the registry: #RP-042563-L (PA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Ivan Jacoby?

The NPI number is 1548553167.

What is the phone number of Michael Jacoby?

The phone number listed for the practice location is (570) 563-3304.

Where is Michael Jacoby located?

192 Locust Ln, Dalton, PA 18414-9557.

What is the taxonomy code for Michael Jacoby?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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