Organization
MEDICAL ARTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MICHAEL RAST P. D. FASCP (SEC-TRES)
(843) 332-5193
Entity
Organization
Contact information
Practice address
206 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 332-5193
(843) 332-7519
Mailing address
206 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 332-5193
(843) 332-7519
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
3848
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702116
—
SC
Enumeration date
12/27/2006
Last updated
08/22/2020
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