Individual
JACOB DONALD NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1504 2ND ST NE, HICKORY, NC 28601-2551
(828) 322-3037
(828) 322-3920
Mailing address
1504 2ND ST NE, HICKORY, NC 28601-2551
(828) 322-3037
(828) 322-3920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25516
NC
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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