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Organization

MEDICAL ARTS PHARMACY OF HARTSVILLE

Active
Other names
NURSING HOME DISPENSARY
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL RAST (SECRE AND TRES)
(843) 332-7529
Entity
Organization

Contact information

Practice address
212 W CAROLINA AVE, HARTSVILLE, SC 29550-4520
(843) 332-7529
(843) 332-2589
Mailing address
212 W CAROLINA AVE, HARTSVILLE, SC 29550-4520
(843) 332-7529
(843) 332-2589

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
2044
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2089701
PK
05
702116
SC
Enumeration date
01/11/2007
Last updated
04/19/2016
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