=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003735465
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANDREW BARTLE PHARMD
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2026
-----------------------------------------------------
Last Update Date | 07/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 162 SEVEN FARMS DR STE 100
-----------------------------------------------------
City | DANIEL ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29492-8024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-972-6082
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 303 NEWBROOK DR UNIT 2205
-----------------------------------------------------
City | DANIEL ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29492-7118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 67856
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------