Jacob Kevin Dunn | Tyler, TX • PECOS Search

Jacob Kevin Dunn

Pharmacist

Pharmacy Service Providers

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

PECOS Enrollment

Based on the most recent information from CMS, provider Jacob Kevin Dunn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1871270710
Provider Type
Individual
Full Name
Dunn, Jacob Kevin
Credential
PHARMD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/3/2023
Last Updated
7/3/2023

Contact Information

Practice Location

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

Unlisted Fax

Mailing Location

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 72411 Texas