Gunter Bullock
Individual provider Active NPI Pharmacist · Hilton Head, SC
NPI 1306243548 · NPPES record last updated Dec 3, 2014
Key facts
- NPI
- 1306243548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35614 (SC)
- Practice address
- 10 Pope Ave
Hilton Head, SC 29928-4719 - Phone
- (843) 785-7786
- NPI assigned
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35614 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35614 | SC | Yes |
Addresses
Primary practice location
10 Pope Ave
Hilton Head, SC 29928-4719
Mailing address
10 Pope Ave
Hilton Head, SC 29928-4719
Phone (843) 785-7786
Other providers in Hilton Head, SC
- Michelle Suzanne Brinker
- Broad River Primary Care LLC
- David A Brosman
- Aldric Demond Browne
- Diamond Takeya Bryan
- Albert Thomas Bundy
- Robert L Burnaugh
- Caleb Campbell
- Candler Hospital, Inc.
- Brett Jeffrey Cargill
All providers in Hilton Head, 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 Dec 3, 2014. 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.