institution
Brian J Roberts Md
Non-Pharmacy Dispensing Site in Myrtle Beach, South Carolina
NPI 1225199094

Brian J Roberts Md is a Non-Pharmacy Dispensing Site based in Myrtle Beach, SC. Brian J Roberts Md practices in Myrtle Beach, SC. The NPI Number for Brian J Roberts Md is 1225199094 and holds a License No. 20257 (South Carolina).

The current practice location address for Brian J Roberts Md is 823 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-449-1010 and via fax at 843-497-6171. You can also correspond with Brian J Roberts Md through the mailing address at 823 82ND PKWY, MYRTLE BEACH, SC - 29572-4607 (mailing address contact number: ).

Location: 823 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
institution
Provider Profile Details
NPI Number
1225199094
Provider Name
Brian J Roberts Md
Credential
Provider Entity Type
Organization
Address
823 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1418 05 SC
4226216 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
823 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider Business Mailing Address Details
Address
823 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
20257 (South Carolina)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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