IndividualActive
Troy Jackman, PHARMD
NPI 1609414051 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Jerome, ID
Provider details
- NPI number
- 1609414051
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P5259 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
709 N Lincoln Ave
Jerome, ID 83338-1851
Phone: (208) 814-9716
Fax: (208) 814-9587
Approximate (ZIP-level) locationGet directions
Mailing address
709 N Lincoln Ave
Jerome, ID 83338-1851
Registry dates
- Enumerated
- 2019-12-17
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.