Individual
DR. BRENT HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
305 N MAIN ST, MARION, SC 29571-3027
(843) 423-2682
Mailing address
PO BOX 416, DILLON, SC 29536-0416
(843) 506-9076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12574
SC
Other
Enumeration date
08/12/2009
Last updated
11/23/2020
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