Individual provider · Type 1 NPI

Susan Jacob

Pharmacist · Port St. Lucie, FL

NPI number 1487991246 Active

Practice location

5473 NW Saint James Dr
Port St. Lucie, FL 34983-3444

Fax (772) 878-5446

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS47566 (FL)

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…

6 other providers at this address

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About NPI 1487991246

Susan Jacob's National Provider Identifier is 1487991246, issued on Jan 12, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 12, 2013.