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Mr. Michael Ivan Jacoby
Pharmacist in Dalton, Pennsylvania
NPI 1548553167

Michael Ivan Jacoby is a Pharmacist based in Dalton, PA. Michael Ivan Jacoby practices in Dalton, PA. The NPI Number for Michael Ivan Jacoby is 1548553167 and holds a License No. RP-042563-L (Pennsylvania).

The current practice location address for Michael Ivan Jacoby is 192 Locust Ln, Dalton, PA and can be reached out via phone at 570-563-3304.

Location: 192 Locust Ln, Dalton, PA, 18414-9557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548553167
Provider Name
Michael Ivan Jacoby
Credential
Provider Entity Type
Individual
Gender
Male
Address
192 Locust Ln, Dalton, PA, 18414-9557
Phone Number
570-563-3304
Fax Number
Provider Enumeration Date
05/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
192 Locust Ln
City
Dalton
State
Pennsylvania
Zip
18414-9557
Phone Number
570-563-3304
Fax Number
person
Provider Business Mailing Address Details
Address
192 Locust Ln
City
Dalton
State
Pennsylvania
Zip
18414-9557
Phone Number
570-563-3304
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RP-042563-L (Pennsylvania)
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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