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Individual

MR. ROBERT M. PUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6892
(803) 494-6449
(803) 434-6448
Mailing address
208 IVY SQUARE DR, COLUMBIA, SC 29229-8194
(803) 419-2447

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11163
SC
183500000X
Pharmacist
17047
NC
183500000X
Pharmacist
21351
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11163
PHARMACIST LICENSE
SC
01
17047
PHARMACIST LICENSE
NC
01
21351
PHARMACIST LICENSE
GA
Enumeration date
10/11/2006
Last updated
07/08/2007
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