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Jacob Igor Landa, Pharm D

Pharmacist in Aurora, IN. Individual provider (NPI-1).

NPI number1336749043
StatusActive
Last updated in NPPESOct 30, 2020

Details

NPI
1336749043
Entity type
Individual (NPI-1)
Name
Mr. Jacob Igor Landa
Credential
Pharm D
Sex
Male
Sole proprietor
No
Enumeration date
Oct 30, 2020
Certification date
Oct 30, 2020
Last updated
Oct 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist26024330AINYes

Practice location

100 Sycamore Estates Dr
Aurora, IN 47001-1488

Phone 812-926-3034

Mailing address

7252 English Dr
Cincinnati, OH 45244-3150

Phone 614-313-6000

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