Individual provider · Type 1 NPI

Thomas Robert Jacobsen, RPH

Pharmacist · Paradise, CA

NPI number 1962568873 Active

Practice location

5974 Pentz Rd
Paradise, CA 95969-5509

Fax (530) 876-7935

Mailing address

5585 Mellowood Way
Paradise, CA 95969-6105

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH-0008943 (OR)
Pharmacist Primary 183500000XRPH 46785 (CA)

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 1962568873

Thomas Robert Jacobsen, RPH's National Provider Identifier is 1962568873, issued on Dec 28, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Paradise, CA. The record was last updated on Jul 8, 2007.