Healthcare Provider Details

I. General information

NPI: 1578520052
Provider Name (Legal Business Name): CHRISTOPHER SCOTT BERMAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 RIVERS AVE TARGET PHARMACY
NORTH CHARLESTON SC
29406-4625
US

IV. Provider business mailing address

PO BOX 62465
N CHARLESTON SC
29419-2465
US

V. Phone/Fax

Practice location:
  • Phone: 843-572-8918
  • Fax: 843-572-8918
Mailing address:
  • Phone: 843-278-8152
  • Fax: 843-572-8918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number010693
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: