Individual
MRS. KIMBERLY TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 HIGHWAY 90 W STE A, MOBILE, AL 36619-4226
(251) 660-6841
Mailing address
3041 SOUTHRIDGE RD E, MOBILE, AL 36693-3422
(251) 666-9394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17528
AL
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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