IndividualActive
Benjamin Jacobs, PHARMD
NPI 1700486339 · Pharmacist · Vinita, OK
Provider details
- NPI number
- 1700486339
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18483 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
268 S 7th St
Vinita, OK 74301-3737
Phone: (918) 256-6435
Approximate (ZIP-level) locationGet directions
Mailing address
1337 S Winston Ave
Tulsa, OK 74112-6142
Registry dates
- Enumerated
- 2020-11-01
- Last updated
- 2020-11-01
- Certified
- 2020-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.