Individual
ELIZABETH L TUBERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 W WASHINGTON ST, CAMDEN, AR 71701-3828
(870) 836-9303
Mailing address
3295 OUACHITA 3, CAMDEN, AR 71701-9206
(870) 837-1370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09500
AR
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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