Dr. Jacklyn Louise Patton, PharmD
Pharmacist in Beaver, PA. Individual provider (NPI-1).
NPI number1841900271
StatusActive
Last updated in NPPESOct 13, 2024
Details
- NPI
- 1841900271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacklyn Louise Patton
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2022
- Certification date
- Oct 13, 2024
- Last updated
- Oct 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP459007 | PA | Yes |
| 146M00000X | Emergency Medical Technician, Intermediate | 0890773 | PA |
Practice location
246 Friendship CirBeaver, PA 15009-9704
Phone 724-512-8767
Mailing address
246 Friendship CirBeaver, PA 15009-9704
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