Provider Demographics
NPI:1295871127
Name:WEART, CHARLES WAYNE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WAYNE
Last Name:WEART
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:863 ROBERT E LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9184
Mailing Address - Country:US
Mailing Address - Phone:843-795-5222
Mailing Address - Fax:843-762-2727
Practice Address - Street 1:SC COLLEGE OF PHARMACY, MUSC CAMPUS
Practice Address - Street 2:280 CALHOUN ST
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-3606
Practice Address - Fax:843-792-1712
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC53361835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy