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DR. ADRIENNE JILL GOBLE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1457606824

Individual Registrant:
DR. ADRIENNE JILL GOBLE PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
101 NORTH MAIN ST  LICKING, MO 65542-9026 US
Tel: 573-674-3932  Fax: 573-674-4334

Contact information for business:
101 NORTH MAIN ST PO BOX 125 LICKING, MO 65542 US
Tel: 573-674-3932  Fax: 573-674-4334

Registration Information:
NPI: 1457606824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MO2004034224

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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