Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Russel Klock

Individual provider Pharmacist · NPI 1417767021

Jacob Russel Klock is a Pharmacist in Bloomsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

725 Columbia Blvd
Bloomsburg, PA 17815-2360
Phone: (570) 387-6183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP459047 (PA)

Record details

NPI number1417767021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 7, 2025
Mailing address511 Mount Pleasant Rd, Bloomsburg, PA 17815-7242

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