Individual provider · Type 1 NPI

Jacob Sullivan, RPH

Pharmacist · Liberty Lake, WA

NPI number 1164916656 Active

Practice location

23102 E Appleway Ave
Liberty Lake, WA 99019-9585

Call (509) 928-8738 Map

Mailing address

PO Box 608
Newman Lake, WA 99025-0608

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PH00069866 (WA)

Pharmacist: 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…

2 other providers at this address

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About NPI 1164916656

Jacob Sullivan, RPH's National Provider Identifier is 1164916656, issued on Jun 18, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Liberty Lake, WA. The record was last updated on Jun 18, 2018.