Individual
MICKEY DEAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
229 WEST BUFORD DTREET, GAFFNEY, SC 29340
(864) 489-3140
Mailing address
PO BOX 414, BLACKSBURG, SC 29702-0414
(864) 490-1679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4939
SC
183500000X
Pharmacist
SC4939
SC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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