Individual
DR. JACOB E DERONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1454 E REPUBLIC RD, SPRINGFIELD, MO 65804-6507
(417) 886-6880
(417) 886-0042
Mailing address
1454 E REPUBLIC RD, SPRINGFIELD, MO 65804-6507
(417) 886-6880
(417) 886-0042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021030848
MO
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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