MEDICARE: JACQUELYN JAYNE STRICKLAND PHARM D

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	012084	KY

General Provider Information

NPI Number	:	1831398684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN JAYNE STRICKLAND PHARM D

Provider Business Mailing Address
First Line	:	223 WELLINGTON WAY
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-8733
Country	:	US
Telephone Number	:	270-885-6025
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 FORT CAMPBELL BLVD
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-4665
Country	:	US
Telephone Number	:	270-885-5515
Fax Number	:	270-885-5591

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	08/04/2020

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