| NPI | 1417095613 |
|---|---|
| Doing Business As | MORT JACOBS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JANICE DE HOMBRE Manager 973-279-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00648000) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-07-14 |