IndividualActive
Jacob Lieberg, PHARMD
NPI 1629702485 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Huron, SD
Provider details
- NPI number
- 1629702485
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 6983 (SD)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2791 Dakota Ave S
Huron, SD 57350-4411
Phone: (605) 353-9513
Approximate (ZIP-level) locationGet directions
Mailing address
809 1st Ave N
Sartell, MN 56377-1437
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.