Healthcare Provider Details

I. General information

NPI: 1245519883
Provider Name (Legal Business Name): BRITTANY L CAULLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2011
Last Update Date: 08/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 N HIGHWAY 17
MT PLEASANT SC
29464-3309
US

IV. Provider business mailing address

1 MICHEL PL APT A
CHARLESTON SC
29401-2058
US

V. Phone/Fax

Practice location:
  • Phone: 843-388-2585
  • Fax:
Mailing address:
  • Phone: 843-327-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13356
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: