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Jacob Mock, PHARMD, BCGP — NPI 1902032535, Eielson Afb, AK | NPI Central

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NPI 1902032535

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Jacob Mock, PHARMD, BCGP

NPI 1902032535 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Eielson Afb, AK

Provider details

NPI number: 1902032535
Entity type: Individual
Primary specialty: Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Credential: PHARMD, BCGP
Sex: Male
Sole proprietor: No
License: 102058 (AK)

Specialties & taxonomies

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPrimary1835P0018XLicense RPH-0013183 (OR)
Pharmacy Service Providers
Geriatric Pharmacist1835G0303XLicense 102058 (AK)
Pharmacy Service Providers

Practice location

2630 Central Ave

Eielson Afb, AK 99702-2301

Phone: (907) 377-6606

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

1650 Cowles St

Fairbanks, AK 99701

Additional practice locations (1)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-5615

Registry dates

Enumerated: 2009-06-10
Last updated: 2021-03-29
Certified: 2021-03-06

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