| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACOB MICHAEL FERGUSON | 1316675655 | 2022-08-14 |
Jacob Michael Ferguson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316675655. Registration indicates Jacob Michael Ferguson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Jacob Michael Ferguson PHARMD |
| Practice Office Address | 176 VIRGINIA AVE FL 3 ROCHESTER, PA US |
| Practice Office Telephone | 7249876085 |
| Mailing Address | 300 ELIZABETH DR APT 3301 PITTSBURGH, PA 152203337 US |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RP452407
PA |