IndividualActive
Jacob King, PHARMD
NPI 1669144572 · Pharmacist · Agana Heights, GU
Provider details
- NPI number
- 1669144572
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 0202219751 (VA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
Bldg 50 Farenholt Avenue
Agana Heights, GU 96910
Phone: (671) 344-9340
Mailing address
Psc 455 Box 208
Fpo, AP 96540-0003
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2025-02-06
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.