Individual
JACOB FARRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
3535 SOUTHERN BLVD, DAYTON, OH 45429-1221
(937) 395-8664
Mailing address
8393 PARAGON RD, DAYTON, OH 45458-2138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03236891
OH
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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