Kenneth Allen Jacobs in Detroit - Pharmacist
Kenneth Allen Jacobs - NPI 1225252810
Kenneth Allen Jacobs is a Pharmacist in Detroit, Michigan. Kenneth Allen Jacobs practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kenneth Allen Jacobs is 1225252810. The last update date is 2013-10-02.
Kenneth Allen Jacobs's current location address is 18500 Grand River Ave, Detroit, Michigan. You can contact this provider via phone number 3132725256 and fax number 3132729780. The mailing address for Kenneth Allen Jacobs is 18500 Grand River Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Allen Jacobs |
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Address | 18500 Grand River Ave, Detroit, Michigan |
Phone Number | 3132725256 |
Fax Number | 3132729780 |
Sole Proprietor | N |
Credentials | PHARMD |
NPI Number Detail
NPI Number | 1225252810 |
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Provider Enumeration Date | 2007-04-13 |
Last Updated Date | 2013-10-02 |
Provider Mailing Address Detail
Address | 18500 Grand River Ave |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482232319 |
Phone Number | 3132725256 |
Fax Number | 3132729780 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 5302024203 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5302024203 | MI | PHARMACY LICENSE NUMBER |
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What is the unique 10-digit identifier code issued to Kenneth Allen Jacobs by the Centers for Medicare & Medicaid Services?
The Kenneth Allen Jacobs has been assigned the NPI (National Provider Identifier) 1225252810 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kenneth Allen Jacobs located?
The Kenneth Allen Jacobs is located at 18500 Grand River Ave, Detroit, MI 482232319.
What is the area of specialization for Kenneth Allen Jacobs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Allen Jacobs is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When did the Kenneth Allen Jacobs receive its 1225252810?
The Kenneth Allen Jacobs was issued its 1225252810 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kenneth Allen Jacobs last refreshed?
The information related to the Kenneth Allen Jacobs, including its address, specialty, and other relevant details, was last updated on 2013-10-02.