JACOB LATHAM

HAMMOND, IN
NPI1760012231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26025570A)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
JACOB LATHAM PharmD
5454 HOHMAN AVE
HAMMOND, IN 46320-1931
Phone number: 219-852-1521
Mailing Address
JACOB LATHAM PharmD
5454 HOHMAN AVE
HAMMOND, IN 46320-1931
Phone number: 219-852-1521