Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB A MOCK, PHARMD, BCGP
ActivePharmacist Clinician (PhC) · EIELSON AFB, AK
Registration Details
- NPI Number
- 1902032535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2009 (16.864615040421 yrs)
- Last Updated
- Mar 29, 2021
- Licenses
-
102058 (AK)RPH-0013183 (OR)
Practice Information
- Address
-
2630 CENTRAL AVEEIELSON AFB, AK, 997022301Browse AK providers · Browse ZIP 99702
- Phone
- 9073776606
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
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.