Individual
BRYAN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
117 E MAIN ST, EAST PRAIRIE, MO 63845-1136
(573) 649-9229
Mailing address
117 E MAIN ST, EAST PRAIRIE, MO 63845-1136
(573) 649-9229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019030655
MO
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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