Individual
DR. JACOB SULLIVAN KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
131 EUREKA TOWNE CENTER DR, EUREKA, MO 63025-1031
(636) 938-9425
Mailing address
1122 SIDNEY ST # 1, SAINT LOUIS, MO 63104-4311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013022775
MO
Other
Enumeration date
07/07/2013
Last updated
07/07/2013
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