Provider Demographics
NPI:1932874823
Name:CARMICHAEL, GARRET THOMAS (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:GARRET
Middle Name:THOMAS
Last Name:CARMICHAEL
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PARKLAWN DR UNIT 1026
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8140
Mailing Address - Country:US
Mailing Address - Phone:978-590-6086
Mailing Address - Fax:
Practice Address - Street 1:7501 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4662
Practice Address - Country:US
Practice Address - Phone:843-764-1745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC43098OtherPHARMACIST LICENSE