Kathleen Sue Jacoby in Springfield - Pharmacist
Kathleen Sue Jacoby - NPI 1770772022
Kathleen Sue Jacoby is a Pharmacist in Springfield, Illinois. Kathleen Sue Jacoby practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kathleen Sue Jacoby is 1770772022. The last update date is 2007-10-22.
Kathleen Sue Jacoby's current location address is 3132 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2178620001 and fax number 2178620003. The mailing address for Kathleen Sue Jacoby is 3132 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Sue Jacoby |
|---|---|
| Address | 3132 Old Jacksonville Rd, Springfield, Illinois |
| Phone Number | 2178620001 |
| Fax Number | 2178620003 |
| Sole Proprietor | Y |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1770772022 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 3132 Old Jacksonville Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047400 |
| Phone Number | 2178620001 |
| Fax Number | 2178620003 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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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 Kathleen Sue Jacoby's unique identification number?
The Kathleen Sue Jacoby has been assigned the NPI (National Provider Identifier) Number 1770772022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kathleen Sue Jacoby located?
The Kathleen Sue Jacoby is located at 3132 Old Jacksonville Rd, Springfield, IL 627047400.
What is Kathleen Sue Jacoby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen Sue Jacoby is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770772022 to Kathleen Sue Jacoby?
The Kathleen Sue Jacoby received its 1770772022 assignment from the Centers for Medicare & Medicaid Services on 2007-10-22.
As of what date were the details related to Kathleen Sue Jacoby most recently updated or revised?
The information pertaining to Kathleen Sue Jacoby, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-22.
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