Individual
JACOB MILBRADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
205 N VINE ST, EL DORADO, KS 67042-2055
(316) 321-5330
(316) 321-1254
Mailing address
205 N VINE ST, EL DORADO, KS 67042-2055
(316) 321-5330
(316) 321-1254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13502
KS
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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