Provider Demographics
NPI:1841568557
Name:JACOBS, CHRISTIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIN
Middle Name:
Last Name:JACOBS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 OLD US HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-5334
Mailing Address - Country:US
Mailing Address - Phone:336-731-3033
Mailing Address - Fax:
Practice Address - Street 1:6475 OLD US HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-5334
Practice Address - Country:US
Practice Address - Phone:336-731-3033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16814183500000X
NC28722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist