Individual
KASEY TUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4000
Mailing address
369 COUNTY ROAD 505, WAPPAPELLO, MO 63966-8310
(573) 297-3760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009021424
MO
Other
Enumeration date
10/13/2011
Last updated
06/20/2016
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