Individual
SAMANTHA HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 12TH ST, TELL CITY, IN 47586-1915
(812) 547-4201
Mailing address
225 12TH ST, TELL CITY, IN 47586-1915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025164A
IN
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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