Healthcare Provider Details

I. General information

NPI: 1003735465
Provider Name (Legal Business Name): ANDREW BARTLE PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 SEVEN FARMS DR STE 100
DANIEL ISLAND SC
29492-8024
US

IV. Provider business mailing address

303 NEWBROOK DR UNIT 2205
DANIEL ISLAND SC
29492-7118
US

V. Phone/Fax

Practice location:
  • Phone: 843-972-6082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67856
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: