MEDICARE: MS. LORI JEAN JACOBS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10319	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4902981	OTHER	WA	NABP

General Provider Information

NPI Number	:	1679634281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORI JEAN JACOBS RPH

Provider Business Mailing Address
First Line	:	2951 DOVE LN
Second Line	:
City	:	CLARKSTON
State	:	WA
Zip	:	99403-1460
Country	:	US
Telephone Number	:	509-758-5438
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 HIGHLAND AVE
Second Line	:
City	:	CLARKSTON
State	:	WA
Zip	:	99403-2846
Country	:	US
Telephone Number	:	509-758-2555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1902804594 — DR. JAYME T. MACKAY M.D.
Practice Location Address:

1271 HIGHLAND AVE , SUITE A
CLARKSTON, WA
99403-2846

Practice Phone: 509-751-1500
Practice Fax: 509-751-1504

1578556833 — ELIZABETH LEFFT BLACK MD
Practice Location Address:

1271 HIGHLAND AVE STE B
CLARKSTON, WA
99403-2846

Practice Phone: 509-751-5500
Practice Fax: 509-751-1059

1194786103 — DONALD J. GREGGAIN, M.D. PS
Practice Location Address:

1271 HIGHLAND AVE
CLARKSTON, WA
99403-2846

Practice Phone: 509-751-1500
Practice Fax: 509-751-1504

1235290065 — MRS. KRISTEN CLARISSA ADAMS RPH
Practice Location Address:

1275 HIGHLAND AVE
CLARKSTON, WA
99403-2846

Practice Phone: 509-758-5533
Practice Fax: 509-751-9545

1811058605 — MS. KIMBERLY KAYE MERRILL RPH
Practice Location Address:

1275 HIGHLAND AVE
CLARKSTON, WA
99403-2846

Practice Phone: 509-758-5533
Practice Fax: 509-751-9545

1164573762 — CHASTAINS INCORPORATED
Practice Location Address:

1275 HIGHLAND AVE
CLARKSTON, WA
99403-2846

Practice Phone: 509-758-5533
Practice Fax: 509-751-9545

Directions to “ MS. LORI JEAN JACOBS RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.