Individual
JOHN MARK DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
805 ENTERPRISE RD, DILLON, SC 29536-7821
(843) 841-2228
Mailing address
805 ENTERPRISE RD, DILLON, SC 29536-7821
(843) 841-2228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36446
SC
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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