Cottam, Jacob

Cottam, Jacob is an individual health care provider with primary practice located at 3475 E 17Th St , Ammon ID 83406-6781. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cottam, Jacob can be contacted via phone (208) 227-5083.

Contact Information

Primary practice address
3475 E 17Th St Ammon ID 83406-6781
Phone: (208) 227-5083
Fax: (208) 227-5087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6691 Idaho

Profile Details

NPI number 1538417084
LBN Legal business name Cottam, Jacob
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Aug 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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