Individual
KAYLA HUBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1326 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 342-8979
Mailing address
1326 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 682-4171
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
0202213127
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202213127
VA BOARD OF PHARMACY
VA
Enumeration date
07/27/2021
Last updated
12/17/2021
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