Individual provider · Type 1 NPI

Angela Marie Jacobsen, RPH

Pharmacist · Phoenix, AZ

NPI number 1114975190 Active

Practice location

19001 N 27th Ave
Phoenix, AZ 85027-5036

Fax (623) 293-4405

Mailing address

833 W Solano Dr
Phoenix, AZ 85013-1643

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X5609934-1701 (UT)
Pharmacist 183500000X26019903A (IN)
Pharmacist Primary 183500000X12512 (AZ)

Pharmacist: 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…

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About NPI 1114975190

Angela Marie Jacobsen, RPH's National Provider Identifier is 1114975190, issued on May 4, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 26, 2016.