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

TARA LYN JACOBS

Active

TARA LYN JACOBS is a Pharmacist Clinician (PhC) healthcare provider located in ANNA, Illinois. NPI 1184264723 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · ANNA, IL

Registration Details

NPI Number
1184264723
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2020 (6.6314003967755 yrs)
Last Updated
Jan 12, 2020
License
051-288155 (IL)

Practice Information

Address
45 PLAZA DR
ANNA, IL, 629062034
Browse IL providers · Browse ZIP 62906
Phone
6188334521
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in ANNA, IL

Name Credential NPI
MICHAEL KENNETH RETZ PHARMD 1669071650
DR. GRACIE NICOLE TATE PHARMD 1942809983
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.