MEDICARE: DR. CHRISTINA BRUECKNER PETTIT 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	11042	SC
2	183500000X	Pharmacist	2004009928	MO

General Provider Information

NPI Number	:	1760777411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA BRUECKNER PETTIT PHARMD

Provider Business Mailing Address
First Line	:	1300 LONG GROVE DR
Second Line	:	TARGET PHARMACY T-1529
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-9462
Country	:	US
Telephone Number	:	843-388-8769
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 LONG GROVE DR
Second Line	:	TARGET PHARMACY T-1529
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-9462
Country	:	US
Telephone Number	:	843-388-8769
Fax Number	:

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

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	06/10/2011

Similar Medicare Providers

1295875938 — DR. DAVID BRADLEY BODKIN O.D.
Practice Location Address:

1296 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 617-970-2252
Practice Fax:

1710111588 — THE VISION CENTER AT SEASIDE FARMS
Practice Location Address:

1296 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-6200
Practice Fax: 888-224-4732

1366721466 — MRS. TAYLOR SAULS GROSSE PHARM D.
Practice Location Address:

1300 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-1973
Practice Fax:

1467882092 — CHRISTOPHER MICHAEL KOWALSKI
Practice Location Address:

1300 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-399-1973
Practice Fax:

1306256003 — DR. ELLESSE BOIWKA O.D.
Practice Location Address:

1296 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-6200
Practice Fax:

1750731931 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

1300 LONG GROVE DR
MOUNT PLEASANT, SC
29464-9462

Practice Phone: 843-388-8203
Practice Fax:

Directions to “ DR. CHRISTINA BRUECKNER PETTIT PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.