Provider Demographics
NPI:1285462127
Name:BAUGH, MICAH HOLMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICAH
Middle Name:HOLMES
Last Name:BAUGH
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 1:2320 RISING GLEN WAY APT 209
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2089
Mailing Address - Country:US
Mailing Address - Phone:805-710-5452
Mailing Address - Fax:
Practice Address - Street 1:2320 RISING GLEN WAY APT 209
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2089
Practice Address - Country:US
Practice Address - Phone:805-710-5452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist