IndividualActive
Andrew Jacobson, PHARMACIST
NPI 1952109316 · Pharmacist · Othello, WA
Provider details
- NPI number
- 1952109316
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- No
- License
- PH61560626 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1515 E Columbia St
Othello, WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Approximate (ZIP-level) locationGet directions
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.