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NPI Code Detail

MEDICARE: DR. DAVID J TABER PHARM.D.

MEDICARE: DR. DAVID J TABER PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist9527SC

General Provider Information

NPI Number : 1093712101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J TABER PHARM.D.
Provider Business Mailing Address
First Line : 318 COMMONWEALTH RD
Second Line :
City : MT PLEASANT
State : SC
Zip : 29466-8327
Country : US
Telephone Number : 843-654-9280
Fax Number : 843-792-8596
Provider Business Practice Location Address
First Line : MUSC DIVISION OF TRANSPLANT SURGERY
Second Line : 96 JONATHAN LUCAS ST; CSB 409
City : CHARLESTON
State : SC
Zip : 29425-0001
Country : US
Telephone Number : 843-792-2724
Fax Number : 843-792-8596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 08/27/2012

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