Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rosily J Jacob

Individual provider Pharmacist · NPI 1114521275

Rosily J Jacob is a Pharmacist in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

4005 US Highway 98 N
Lakeland, FL 33809-3815
Phone: (863) 815-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS0031680 (FL)

Record details

NPI number1114521275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2020
Last updated in NPPESNovember 29, 2020
Certification dateNovember 29, 2020
Mailing address1109 Glen Park Ln, Valrico, FL 33594-5112

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