Individual
JACOB THOMAS STOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15100 W 87TH STREET PKWY, LENEXA, KS 66219-1420
(913) 438-5172
Mailing address
15100 W 87TH STREET PKWY, LENEXA, KS 66219-1420
(913) 438-5172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14104
KS
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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