NPI Registry.org

Alida Jacob

NPI Registration Record

Provider / OrganizationNPIDate Certified
ALIDA JACOB10630057342021-02-14

Alida Jacob is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063005734. Registration indicates Alida Jacob is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)

Entity TypeIndividual
Provider Name Alida Jacob
Practice Office Address4880 CENTRAL AVE NE
HILLTOP, MN US
Practice Office Telephone7635717195
Mailing Address4880 CENTRAL AVE NE
HILLTOP, MN 554212630 US
Business Telephone7635717195
HPT Codes
CodePractice
License No
State
183500000X PRIMARY
Pharmacy Service Providers
Pharmacist
Pharmacist

Pharmacist
Pharmacy Service Providers
123692
MN
OPI Codes

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