Individual
DR. JACOB S FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13674
KS
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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