Craig Matthew Bieltz
Individual provider Active NPI Pharmacist · Myrtle Beach, SC
NPI 1013265941 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1013265941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13873 (SC)
- Practice address
- 3411 Socastee Blvd
Myrtle Beach, SC 29588-6111 - Phone
- (814) 294-1285
- NPI assigned
- Aug 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13873 | SC | Yes |
Addresses
Primary practice location
3411 Socastee Blvd
Myrtle Beach, SC 29588-6111
Mailing address
3411 Socastee Blvd
Myrtle Beach, SC 29588-6111
Phone (814) 294-1285
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All providers in Myrtle Beach, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.