Individual
ELIJAH JAMES KUBATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1920 PIPESTONE RD, BENTON HARBOR, MI 49022-2315
(269) 934-6710
Mailing address
1920 PIPESTONE RD, BENTON HARBOR, MI 49022-2315
(269) 934-6710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411523
MI
Other
Enumeration date
01/09/2018
Last updated
01/17/2021
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