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NPI Code Detail

MEDICARE: MR. PETER J HART R.PH.

MEDICARE: MR. PETER J HART R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist43629SC

General Provider Information

NPI Number : 1053703413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER J HART R.PH.
Provider Business Mailing Address
First Line : 125 TOWNE DR
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-4203
Country : US
Telephone Number : 843-815-7070
Fax Number : 843-815-7078
Provider Business Practice Location Address
First Line : 125 TOWNE DR
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-4203
Country : US
Telephone Number : 843-815-7070
Fax Number : 843-815-7078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2015
Last Update Date : 06/29/2026

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