IndividualActive
Jacob Dejong, PHARM D
NPI 1396491858 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Sioux City, IA
Provider details
- NPI number
- 1396491858
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Male
- Sole proprietor
- No
- License
- 24242 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4500 Sergeant Rd
Sioux City, IA 51106-4705
Phone: (712) 274-2949
Fax: (712) 274-8072
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Sergeant Rd
Sioux City, IA 51106-4705
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.