IndividualActive
Jacob Edwards
NPI 1043828163 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Lyons, KS
Provider details
- NPI number
- 1043828163
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1-105894 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
921 W Main St
Lyons, KS 67554-1708
Phone: (620) 509-2169
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 167
Lyons, KS 67554-0167
Registry dates
- Enumerated
- 2020-07-15
- Last updated
- 2020-07-15
- Certified
- 2020-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.