| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL JACOBSEN | 1760009906 | 2020-07-04 |
Michael Jacobsen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760009906. Registration indicates Michael Jacobsen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Michael Jacobsen |
| Practice Office Address | 200 HAWKINS DR IOWA CITY, IA US |
| Practice Office Telephone | 3193562577 |
| Mailing Address | 200 HAWKINS DR IOWA CITY, IA 522421009 US |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 22839
IA |