Individual
DR. KENLICIA TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1550 S NEW FLORISSANT RD, FLORISSANT, MO 63031-8123
(314) 830-3280
Mailing address
1550 S NEW FLORISSANT RD, FLORISSANT, MO 63031-8123
(314) 830-3282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022041308
MO
Other
Enumeration date
10/31/2022
Last updated
05/16/2023
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