| Organization Name: | JOBES PHARMACY INC |
| NPI Number: | 1053496265 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY L SMITH (PRESIDENT) |
| Mailing Address: | 124 Canton Rd Nw Carrollton |
| State: | OH US |
| Postal Code: | 446151010 |
| Phone Number: | 3306274176 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 02-0079750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |