Individual
DR. TABITHA S BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
143 W ELM ST, LEBANON, MO 65536-3517
(417) 532-4431
(417) 532-9431
Mailing address
143 W ELM ST, LEBANON, MO 65536-3517
(417) 532-4431
(417) 532-9431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004035731
MO
183500000X
Pharmacist
20049
IA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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