IndividualActive
Andrew Jacobson, PHARMD
NPI 1659972933 · Pharmacist · Herriman, UT
Provider details
- NPI number
- 1659972933
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8089472-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5056 W 13400 S
Herriman, UT 84096-6600
Phone: (801) 981-1680
Approximate (ZIP-level) locationGet directions
Mailing address
5056 W 13400 S
Herriman, UT 84096-6600
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.