Mark R Jacobs is a Pharmacist in Beloit, Wisconsin. Mark R Jacobs practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark R Jacobs is 1457481400. The last update date is 2007-07-08.
Mark R Jacobs's current location address is 2761 Prairie Ave, Beloit, Wisconsin. You can contact this provider via phone number 6083654418. The mailing address for Mark R Jacobs is 2761 Prairie Ave, Beloit, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Jacobs |
|---|---|
| Address | 2761 Prairie Ave, Beloit, Wisconsin |
| Phone Number | 6083654418 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1457481400 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2761 Prairie Ave |
|---|---|
| City | Beloit |
| State | Wisconsin (WI) |
| Post Code | 535112246 |
| Phone Number | 6083654418 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11075 |
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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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark R Jacobs?
The Mark R Jacobs has been issued the NPI (National Provider Identifier) 1457481400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark R Jacobs is physically located?
The Mark R Jacobs is physically situated at the following address: 2761 Prairie Ave, Beloit, WI, 535112246.
What is the Mark R Jacobs's area of specialization and corresponding taxonomy classification?
The Mark R Jacobs's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When did the Mark R Jacobs receive its 1457481400?
The Mark R Jacobs was issued its 1457481400 on 2007-03-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mark R Jacobs last refreshed?
The information related to the Mark R Jacobs, including its address, specialty, and other relevant details, was last updated on 2007-07-08.