Individual provider · Type 1 NPI

Jacob Timothy Vanvleck, PharmD

Pharmacist · Plummer, ID

NPI number 1669589933 Active

Practice location

427 N 12th Street
Plummer, ID 83851-0388

Fax (208) 685-5511

Mailing address

PO Box 388, 427 N 12th Street
Plummer, ID 83851-0388

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6000 (ID)

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 1669589933

Jacob Timothy Vanvleck, PharmD's National Provider Identifier is 1669589933, issued on Aug 24, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Plummer, ID. The record was last updated on Mar 15, 2019.