| Mr Michael Ivan Jacoby, | |
|
192 Locust Ln, Dalton, PA 18414-9557 | |
| (570) 563-3304 | |
| Not Available |
| Full Name | Mr Michael Ivan Jacoby |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 192 Locust Ln, Dalton, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548553167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RP-042563-L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Ivan Jacoby, 192 Locust Ln, Dalton, PA 18414-9557 Ph: (570) 563-3304 | Mr Michael Ivan Jacoby, 192 Locust Ln, Dalton, PA 18414-9557 Ph: (570) 563-3304 |
Tammy White, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 80 S Waterford Rd, Dalton, PA 18414 Phone: 570-563-1329 | |
Mayur Chandra Patel, R.PH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 102 W Main St, Dalton, PA 18414 Phone: 570-563-1151 Fax: 570-563-0138 | |
Gita Ben Patel, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 102 W Main St, Dalton, PA 18414 Phone: 570-563-1151 Fax: 570-563-0138 |