Individual
BRANDON TYLER HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 W COMMERCIAL ST, OZARK, AR 72949-3010
(479) 667-4145
Mailing address
810 W COMMERCIAL ST, OZARK, AR 72949-3010
(479) 667-4145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16206
AR
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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