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Jacob Sullivan, RPH
Pharmacist in Liberty Lake, Washington
NPI 1164916656

Jacob Sullivan is a Pharmacist based in Newman Lake, WA. Jacob Sullivan practices in Liberty Lake, WA and has the professional credentials of RPH. The NPI Number for Jacob Sullivan is 1164916656 and holds a License No. PH00069866 (Washington).

The current practice location address for Jacob Sullivan is 23102 E Appleway Ave, Liberty Lake, WA and can be reached out via phone at 509-928-8738.

Location: 23102 E Appleway Ave, Liberty Lake, WA, 99025-0608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164916656
Provider Name
Jacob Sullivan
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
23102 E Appleway Ave, Liberty Lake, WA, 99025-0608
Phone Number
509-928-8738
Fax Number
Provider Enumeration Date
06/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23102 E Appleway Ave
City
Liberty Lake
State
Washington
Zip
99019-9585
Phone Number
509-928-8738
Fax Number
person
Provider Business Mailing Address Details
Address
23102 E Appleway Ave
City
Liberty Lake
State
Washington
Zip
99019-9585
Phone Number
509-928-8738
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH00069866 (Washington)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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