MEDICARE: AUSTIN JAMES BURKHART PHARMD

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
1	183500000X	Pharmacist	32878	NC

General Provider Information

NPI Number	:	1356109292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN JAMES BURKHART PHARMD

Provider Business Mailing Address
First Line	:	5420 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5401
Country	:	US
Telephone Number	:	803-782-8428
Fax Number	:	803-782-1726

Provider Business Practice Location Address
First Line	:	5420 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5401
Country	:	US
Telephone Number	:	803-782-8428
Fax Number	:	803-782-1726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	06/08/2026

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