Mark Brian Baumgarner

NPI #1568067890 in Longview, Texas

Provider Information

NPI Number
1568067890
Entity Type
Individual
Name
Mark Brian Baumgarner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 3, 2020
Last Updated
Dec 3, 2020

Practice Location

Address
3812 GILMER RD
State
Texas
ZIP Code
75604-1173
Phone
(903) 475-0477

Specialties & Taxonomy Codes

Specialty
Pharmacist

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