Healthcare Provider Details

I. General information

NPI: 1588645329
Provider Name (Legal Business Name): KATHY R. HOGAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL UNIVERSITY OF SOUTH CAROLINA, DEPT. OF PHARMACY RUTLEDGE TOWER ANNEX - 6TH FLOOR
CHARLESTON SC
29425
US

IV. Provider business mailing address

150 ASHLEY AVE., PO BOX 250584 RUTLEDGE TOWER ANNEX - 6TH FLOOR
CHARLESTON SC
29425
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-9231
  • Fax: 843-792-6480
Mailing address:
  • Phone: 843-792-9231
  • Fax: 843-792-6480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number006283
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: