Provider Demographics
NPI:1225344997
Name:PAWAR, MOHIT (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:MOHIT
Middle Name:
Last Name:PAWAR
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 VERMILLION DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-8526
Mailing Address - Country:US
Mailing Address - Phone:843-272-4269
Mailing Address - Fax:843-361-1435
Practice Address - Street 1:600 HIGHWAY 17 S
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-3338
Practice Address - Country:US
Practice Address - Phone:843-272-4269
Practice Address - Fax:843-361-1435
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011946183500000X
NC19938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist