Individual
JACOB JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 MILAN RD, SANDUSKY, OH 44870-5618
(419) 625-0733
Mailing address
606 WINTHROP CT, HURON, OH 44839-1468
(419) 602-3871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439301
OH
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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