Tiffany Jacobs, PharmD
Pharmacist in Eastern, KY. Individual provider (NPI-1).
NPI number1962095646
StatusActive
Last updated in NPPESFeb 14, 2021
Details
- NPI
- 1962095646
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Jacobs
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2021
- Certification date
- Feb 14, 2021
- Last updated
- Feb 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 017215 | KY | Yes |
Practice location
327 Ky Route 550Eastern, KY 41622-6925
Phone 606-358-4800
Mailing address
Po Box 2Garrett, KY 41630-0002
Phone 606-226-3641
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