Individual
LUCILLE TUBANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
6300 MADDOX BLVD, CHINCOTEAGUE, VA 23336-2617
(757) 336-3115
Mailing address
6300 MADDOX BLVD, CHINCOTEAGUE, VA 23336-2617
(757) 336-3115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211588
VA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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