Provider Demographics
NPI:1871828483
Name:SCHUBERT, DEBRA H (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:H
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:#3 SILVER CREEK ROAD
Mailing Address - City:MIDNIGHT
Mailing Address - State:MS
Mailing Address - Zip Code:39115-0046
Mailing Address - Country:US
Mailing Address - Phone:662-836-7870
Mailing Address - Fax:662-247-0931
Practice Address - Street 1:223 OKLAHOMA ROAD
Practice Address - Street 2:#3 SILVER CREEK ROAD
Practice Address - City:MIDNIGHT
Practice Address - State:MS
Practice Address - Zip Code:39115
Practice Address - Country:US
Practice Address - Phone:662-836-7870
Practice Address - Fax:662-247-0931
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE65931835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist