Individual
DR. BRIAN ANTHONY BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4309 NEW BERN AVE, RALEIGH, NC 27610-1445
(919) 231-2858
Mailing address
1111 WATAUGA ST, RALEIGH, NC 27604-2033
(314) 363-9198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28685
NCBOP LICENSE
NC
Enumeration date
09/25/2019
Last updated
09/25/2019
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