Individual
DR. JACOB DANIEL CLENDENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1350 S RANDOLPH ST, GARRETT, IN 46738-1971
(260) 553-9200
(260) 553-9201
Mailing address
1350 S RANDOLPH ST, GARRETT, IN 46738-1971
(260) 553-9200
(260) 553-9201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026719A
IN
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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