Provider Demographics
NPI:1093712101
Name:TABER, DAVID J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:TABER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:318 COMMONWEALTH RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8327
Mailing Address - Country:US
Mailing Address - Phone:843-654-9280
Mailing Address - Fax:843-792-8596
Practice Address - Street 1:MUSC DIVISION OF TRANSPLANT SURGERY
Practice Address - Street 2:96 JONATHAN LUCAS ST; CSB 409
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-792-2724
Practice Address - Fax:843-792-8596
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist