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Dr. Kenneth Allen Jacobs, PHARMD
Pharmacist in Detroit, Michigan
NPI 1225252810

Kenneth Allen Jacobs is a Pharmacist based in West Bloomfield, MI. Kenneth Allen Jacobs practices in Detroit, MI and has the professional credentials of PHARMD. The NPI Number for Kenneth Allen Jacobs is 1225252810 and holds a License No. 5302024203 (Michigan).

The current practice location address for Kenneth Allen Jacobs is 18500 Grand River Ave, Detroit, MI and can be reached out via phone at 313-272-5256 and via fax at 313-272-9780.

Location: 18500 Grand River Ave, Detroit, MI, 48322-3564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225252810
Provider Name
Kenneth Allen Jacobs
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
18500 Grand River Ave, Detroit, MI, 48322-3564
Phone Number
313-272-5256
Fax Number
313-272-9780
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302024203 01 MI PHARMACY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
18500 Grand River Ave
City
Detroit
State
Michigan
Zip
48223-2319
Phone Number
313-272-5256
Fax Number
313-272-9780
person
Provider Business Mailing Address Details
Address
18500 Grand River Ave
City
Detroit
State
Michigan
Zip
48223-2319
Phone Number
313-272-5256
Fax Number
313-272-9780
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302024203 (Michigan)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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