Doctor Name: | JACOB MICHAEL SEBASTIAO |
NPI Number: | 1265791545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | RP445286 |
Business Practice Address: | 1041 Washington Pike Suite 100 Bridgeville, PA - 15017 |
Business Phone Number: | 4123194900 |
Business Fax Number: | |
Mailing Address: | 1041 Washington Pike, Suite 100 BRIDGEVILLE |
State: | PA |
Postal Code: | 15017 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/08/2012 |
NPI Last Update Date: | 05/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | RP445286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |