Terry Wade Stubblefield, R.PH. Valid NPI

Individual provider · Pharmacist · Ecru, MS

NPI

1104199934

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

E7002 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-02-09

Last updated

2012-11-27