Lori Jean Jacobs is a Pharmacist in Clarkston, Washington. Lori Jean Jacobs practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lori Jean Jacobs is 1679634281. The last update date is 2007-07-08.
Lori Jean Jacobs's current location address is 2951 Dove Ln, Clarkston, Washington. You can contact this provider via phone number 5097585438. The mailing address for Lori Jean Jacobs is 2951 Dove Ln, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Jean Jacobs |
|---|---|
| Address | 2951 Dove Ln, Clarkston, Washington |
| Phone Number | 5097585438 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1679634281 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2951 Dove Ln |
|---|---|
| City | Clarkston |
| State | Washington (WA) |
| Post Code | 994031460 |
| Phone Number | 5097585438 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10319 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6173801 | WA | -- | |
| 4902981 | WA | NABP |
Post Comment/ Review Below
What is the Lori Jean Jacobs's 1679634281?
The Lori Jean Jacobs's NPI (National Provider Identifier) Number is 1679634281. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lori Jean Jacobs's facilities are situated?
The facilities of Lori Jean Jacobs are physically located at the following address: 2951 Dove Ln, Clarkston, WA, 994031460.
What is the Lori Jean Jacobs's specialty and taxonomy code?
The Lori Jean Jacobs's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679634281 to Lori Jean Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1679634281 to Lori Jean Jacobs on 2006-12-13.
As of what date were the details pertaining to Lori Jean Jacobs last refreshed?
The information related to the Lori Jean Jacobs, including its address, specialty, and other relevant details, was last updated on 2007-07-08.