MEDICARE: PATRICYA BUZETTI MILLER PHARM.D.

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	43728	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	43728	OTHER	SC	RPH

General Provider Information

NPI Number	:	1538820741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICYA BUZETTI MILLER PHARM.D.

Provider Business Mailing Address
First Line	:	710 BOUNTY SQUARE DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8070
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 BOUNTY SQUARE DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8070
Country	:	US
Telephone Number	:	469-826-6755
Fax Number	:

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

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	04/14/2026

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