NPI 1316538457

Jacob Milbradt, PHARMD

Practitioner Pharmacist El Dorado, KS

Practice location

Address: 205 N Vine St, El Dorado, KS 67042-2055
Phone: (316) 321-5330
Fax: (316) 321-1254

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 1-13502 (KS)

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Registry record

NPI: 1316538457
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2021
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.