Individual
SUJITH JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
545 E SANTE FE STREET, OLATHE, KS 66061
(913) 393-2757
Mailing address
545 E SANTE FE STREET, OLATHE, KS 66061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15078
KS
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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