Provider Demographics
NPI:1578855771
Name:KUBE, JOE
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:
Last Name:KUBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DOMINION SQ SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2479
Mailing Address - Country:US
Mailing Address - Phone:540-825-0703
Mailing Address - Fax:
Practice Address - Street 1:705 DOMINION SQ SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2479
Practice Address - Country:US
Practice Address - Phone:540-825-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202003387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist