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Individual

PATRICK ANTHONY DISARNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
823 82ND PKWY UNIT C, MYRTLE BEACH, SC 29572-4607
(847) 465-0951
Mailing address
823 82ND PKWY UNIT C, MYRTLE BEACH, SC 29572-4607
(847) 465-0951

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-290824
IL
183500000X
Pharmacist
28RI01886300
NJ
3336C0003X
Community/Retail Pharmacy
Primary
36030
SC

Other

Enumeration date
01/13/2012
Last updated
06/12/2026
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