Individual
DR. JONATHAN STEWART TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
890 WASHINGTON CORS, WASHINGTON, MO 63090-4603
(636) 239-7483
Mailing address
890 WASHINGTON CORS, WASHINGTON, MO 63090-4603
(636) 239-7483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008028097
MO
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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