Individual
CRAIG W TROBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
3 LACEY CIRCLE, POOLER, GA 31322
(765) 524-4321
Mailing address
3 LACEY CIRCLE, POOLER, GA 31322-1258
(912) 450-1338
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
26013193
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26013193
PHARMACIST LICENSE
IN
Enumeration date
01/18/2007
Last updated
11/09/2007
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