Individual provider · Type 1 NPI

Jake N. Chulla

Pharmacist · Jacksonville, FL

NPI number 1477102192 Active

Practice location

5858 Atlantic Blvd
Jacksonville, FL 32207-2223

Mailing address

9823 Tapestry Park Cir Unit 503
Jacksonville, FL 32246-9239

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS62872 (FL)
Student in an Organized Health Care Education/Training Program 390200000XPSI38313 (FL)

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…

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About NPI 1477102192

Jake N. Chulla's National Provider Identifier is 1477102192, issued on Sep 5, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 9, 2021.