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Jacob Vanvleck, PHARMD — NPI 1669589933, Plummer, ID | NPI Central

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NPI 1669589933

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Jacob Vanvleck, PHARMD

NPI 1669589933 · Pharmacist · Plummer, ID

Provider details

NPI number: 1669589933
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: P6000 (ID)

Specialties & taxonomies

PharmacistPrimary183500000XLicense P6000 (ID)
Pharmacy Service Providers

Practice location

427 N 12th Street

Plummer, ID 83851-0388

Phone: (208) 685-1931

Fax: (208) 685-5511

Approximate (ZIP-level) locationGet directions

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Mailing address

Po Box 388

Plummer, ID 83851-0388

Registry dates

Enumerated: 2006-08-24
Last updated: 2019-03-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.