Individual
GREGORY MARTIN BAULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7647 HIGHWAY 76, PENDLETON, SC 29670
(864) 646-7553
(864) 646-6184
Mailing address
7647 HIGHWAY 76, PENDLETON, SC 29670
(864) 646-7553
(864) 646-6184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5111
SC
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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