Individual
TRACEY RABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1150 S FORTH STREET, HARTSVILLE, SC 29550
(843) 332-8111
Mailing address
1150 S FORTH STREET, HARTSVILLE, SC 29550
(843) 332-8111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10721
PHARMACIST LICENSE
SC
Enumeration date
08/17/2015
Last updated
08/17/2015
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