Organization
MEDICAL ARTS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE RAST (SECRETARY/TREASURER)
(843) 332-5193
Entity
Organization
Contact information
Practice address
212 W CAROLINA AVE, HARTSVILLE, SC 29550-4520
(843) 332-5193
(843) 383-0545
Mailing address
212 W CAROLINA AVE, HARTSVILLE, SC 29550-4520
(843) 332-5193
(843) 383-0545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16041757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602119
—
SC
Enumeration date
07/05/2006
Last updated
11/17/2011
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