Healthcare Provider Details

I. General information

NPI: 1053703413
Provider Name (Legal Business Name): PETER J HART R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 TOWNE DR
BLUFFTON SC
29910-4203
US

IV. Provider business mailing address

125 TOWNE DR
BLUFFTON SC
29910-4203
US

V. Phone/Fax

Practice location:
  • Phone: 843-815-7070
  • Fax: 843-815-7078
Mailing address:
  • Phone: 843-815-7070
  • Fax: 843-815-7078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number43629
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: