Individual
ELIZABETH MAREE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010607
OR
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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