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Individual

DARIN BAUCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1241 38TH AVE N, MYRTLE BEACH, SC 29577-1313
(843) 626-7400
(843) 445-6483
Mailing address
1241 38TH AVE N, MYRTLE BEACH, SC 29577-1313
(843) 626-7400
(843) 445-6483

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10009
SC
183500000X
Pharmacist
11297
NC

Other

Enumeration date
09/08/2011
Last updated
09/14/2011
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