Individual
AUSTIN WILLIAM BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
8571 BAYBORO LN, NORTH CHARLESTON, SC 29420-7103
(412) 737-0681
Mailing address
8571 BAYBORO LN, NORTH CHARLESTON, SC 29420-7103
(412) 737-0681
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
68114
SC
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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