Eide, Jacqueline Nicole

Eide, Jacqueline Nicole is an individual health care provider with primary practice located at 104 W Main St , Goldendale WA 98620-9589. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Eide, Jacqueline Nicole can be contacted via phone (509) 773-4344.

Contact Information

Primary practice address
104 W Main St Goldendale WA 98620-9589
Phone: (509) 773-4344
Fax: (509) 773-4555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH60086563 Washington
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60086563 Washington

Profile Details

NPI number 1811123342
LBN Legal business name Eide, Jacqueline Nicole
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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