Individual
JACOB ALEXANDER ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12221 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2640
(913) 217-2052
(913) 217-2059
Mailing address
15489 S WIDMER ST, OLATHE, KS 66062-6047
(913) 522-6923
(913) 856-5028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
015561
KY
183500000X
Pharmacist
Primary
1-14788
KS
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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