Individual
DR. JACOB LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
409 E NORTH AVE, BELTON, MO 64012-2016
(816) 331-9716
Mailing address
25303 QUIVIRA RD, LOUISBURG, KS 66053-5204
(913) 669-9965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015034905
MO
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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