Provider Demographics
NPI:1952943599
Name:JOBSON, TESA (PHARMD)
Entity type:Individual
Prefix:
First Name:TESA
Middle Name:
Last Name:JOBSON
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 1:4201 N BELT HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-1299
Mailing Address - Country:US
Mailing Address - Phone:816-233-7770
Mailing Address - Fax:816-232-4570
Practice Address - Street 1:4201 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1299
Practice Address - Country:US
Practice Address - Phone:816-233-7770
Practice Address - Fax:816-232-4570
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006011636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist