Provider Demographics
NPI:1477234896
Name:MISCHIK, BRANDI (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:MISCHIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 WHEELHOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4548
Mailing Address - Country:US
Mailing Address - Phone:407-761-1518
Mailing Address - Fax:
Practice Address - Street 1:33 ROBERT SMALLS PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4200
Practice Address - Country:US
Practice Address - Phone:863-688-1188
Practice Address - Fax:843-271-6790
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025663183500000X
SC42451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist