Individual
KEVIN R HRTYANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 N FRASER ST, GEORGETOWN, SC 29440-2800
(843) 527-2223
Mailing address
264 SHERWOOD DR, MURRELLS INLET, SC 29576-9374
(304) 550-4170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37642
SC
183500000X
Pharmacist
RP0004714
WV
183500000X
Pharmacist
RP030654L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34672
SC PHARMACIST LICENSE
SC
01
—
RP0004714
WV PHARMACIST LICENSE
WV
01
—
RP030654L
PA PHARMACIST LICENSE
PA
Enumeration date
08/18/2018
Last updated
08/18/2018
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