Individual
MR. RBOIN TIMOTHY BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
25025 HIGHWAY 15, UNION, MS 39365-8577
(601) 774-2772
(601) 774-8779
Mailing address
25025 HIGHWAY 15, UNION, MS 39365-8577
(601) 774-2772
(601) 774-8779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06171
MS
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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