Jacob Timothy Vanvleck, PHARMD

NPI #1669589933 in Plummer, Idaho

Provider Information

NPI Number: 1669589933
Entity Type: Individual
Name: Jacob Timothy Vanvleck, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 24, 2006
Last Updated: Mar 15, 2019

Practice Location

Address: 427 N 12TH STREET
City: Plummer
State: Idaho
ZIP Code: 83851-0388
Phone: (208) 685-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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