Individual
JACOB DAVID ZANOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
Mailing address
223 LAUREL CT, HOBART, IN 46342-7510
(219) 307-3582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030437A
IN
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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