Provider Demographics
NPI:1851986814
Name:JACOB, JUMIE M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUMIE
Middle Name:M
Last Name:JACOB
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 1:360 CREAMERY WAY UNIT 2318
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2678
Mailing Address - Country:US
Mailing Address - Phone:845-499-4227
Mailing Address - Fax:
Practice Address - Street 1:360 CREAMERY WAY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2685
Practice Address - Country:US
Practice Address - Phone:845-499-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist