Individual
JONATHAN GLEN HUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
202 CLINTON BLVD, CLINTON, MS 39056-5126
(601) 924-3232
(601) 924-2417
Mailing address
202 CLINTON BLVD, CLINTON, MS 39056-5126
(601) 924-3232
(601) 924-2417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09835
MS
Other
Enumeration date
08/27/2017
Last updated
07/21/2022
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