Individual
RICK BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7412 BROAD RIVER RD, IRMO, SC 29063-9662
(803) 749-3046
Mailing address
7412 BROAD RIVER RD, IRMO, SC 29063-9662
(803) 749-3046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5027
SC
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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