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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB EDWARDS

Active

JACOB EDWARDS is a Pharmacist Clinician (PhC) healthcare provider located in LYONS, Kansas. NPI 1043828163 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LYONS, KS

Registration Details

NPI Number
1043828163
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2020 (6.1079227849775 yrs)
Last Updated
Jul 15, 2020
License
1-105894 (KS)

Practice Information

Address
921 W MAIN ST
LYONS, KS, 675541708
Browse KS providers · Browse ZIP 67554
Phone
6205092169
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.