Individual
MIKE RAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D. FASCP
Contact information
Practice address
206 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 332-5193
(843) 332-2589
Mailing address
206 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 332-5193
(843) 332-2589
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
3848
SC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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