Provider Demographics
NPI:1205412384
Name:EUBANK, DARCI JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:JEAN
Last Name:EUBANK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 MAITLAND TER
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-5902
Mailing Address - Country:US
Mailing Address - Phone:443-624-2062
Mailing Address - Fax:
Practice Address - Street 1:236 N MARKET ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5377
Practice Address - Country:US
Practice Address - Phone:443-624-2062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist