Individual
JAKOB WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1105 STURBRIDGE CIR, LAWRENCE, KS 66049-3505
(785) 766-0523
Mailing address
1105 STURBRIDGE CIR, LAWRENCE, KS 66049-3505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100900
KS
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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