Jacob Maderich, PHARM D Valid NPI
Individual provider · Pharmacist · Duluth, MN
- NPI
- 1679858864
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 120051 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-10-19
- Last updated
- 2011-10-19
Practice location
4501 Grand Ave
Duluth, MN 55807-2754
(218) 628-2897