NPI 1225199094

Brian J Roberts MD

Organisation Non-Pharmacy Dispensing Site Myrtle Beach, SC

Practice location

Address: 823 82nd Pkwy, Myrtle Beach, SC 29572-4607
Phone: (843) 449-1010
Fax: (843) 497-6171

Authorised official

Name: Chris Richardson
Title: Exec Dir
Phone: (843) 449-1010

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 20257 (SC)

Other Non-Pharmacy Dispensing Site providers in South Carolina →

Registry record

NPI: 1225199094
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.