Tara Lyn Jacobs Valid NPI

Individual provider · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Anna, IL

NPI

1184264723

Type

Individual (Type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacist)

Specialty group

Pharmacy Service Providers

Taxonomy code

1835P0018X

License number

051-288155 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2020-01-12

Last updated

2020-01-12