Individual
DR. TARA DENISE LUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1101 MAIN ST, HILTON HEAD, SC 29926-1624
(843) 681-2622
(843) 681-9392
Mailing address
1101 MAIN ST, HILTON HEAD, SC 29926-1624
(843) 681-2622
(843) 681-9392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12279
SC
1835P1200X
Pharmacotherapy Pharmacist
12279
SC
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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