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Jake N Chulla
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1477102192

Jake N Chulla is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Jake N Chulla practices in Jacksonville, FL. The NPI Number for Jake N Chulla is 1477102192 and holds a License No. PS62872 (Florida).

The current practice location address for Jake N Chulla is 5858 Atlantic Blvd, Jacksonville, FL and can be reached out via phone at 904-721-3410.

Location: 5858 Atlantic Blvd, Jacksonville, FL, 32246-9239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477102192
Provider Name
Jake N Chulla
Credential
Provider Entity Type
Individual
Gender
Male
Address
5858 Atlantic Blvd, Jacksonville, FL, 32246-9239
Phone Number
904-721-3410
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5858 Atlantic Blvd
City
Jacksonville
State
Florida
Zip
32207-2223
Phone Number
904-721-3410
Fax Number
person
Provider Business Mailing Address Details
Address
5858 Atlantic Blvd
City
Jacksonville
State
Florida
Zip
32207-2223
Phone Number
904-721-3410
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PSI38313 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PS62872 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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