Search › Indiana › 183500000X
Jacob Conrad, PHARMD
NPI 1720473135 · on the registry since 2015 · sole proprietor
Practice
- Address
- 604 19th St Se
Demotte, IN 46310 - Phone
- (815) 383-7720
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana