Individual
DR. ADRIENNE JILL GOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 NORTH MAIN ST, LICKING, MO 65542-9026
(573) 674-3932
(573) 674-4334
Mailing address
101 NORTH MAIN ST, PO BOX 125, LICKING, MO 65542
(573) 674-3932
(573) 674-4334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004034224
MO
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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