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

DR. JACQUELINE NICOLE EIDE, PHARMD

Active

DR. JACQUELINE NICOLE EIDE, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in GOLDENDALE, Washington. NPI 1811123342 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · GOLDENDALE, WA

Registration Details

NPI Number
1811123342
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2009 (17.146615821952 yrs)
Last Updated
Oct 25, 2022
Licenses
PH60086563 (WA)
PH60086563 (WA)

Practice Information

Address
104 W MAIN ST
GOLDENDALE, WA, 986209589
Browse WA providers · Browse ZIP 98620
Phone
5097734344
Fax
5097734555
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in GOLDENDALE, WA

Name Credential NPI
LAUREL ANDERSON RPH 1336827237
DR. MIKAYLA A TURNER PHARMD 1568334951
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.