MEDICARE: MR. JAMES RONALD GUIDA RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	005198	SC

General Provider Information

NPI Number	:	1124118674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES RONALD GUIDA RPH

Provider Business Mailing Address
First Line	:	2212 OLD FURNACE RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-5782
Country	:	US
Telephone Number	:	864-599-0889
Fax Number	:	864-599-0824

Provider Business Practice Location Address
First Line	:	2212 OLD FURNACE RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-5782
Country	:	US
Telephone Number	:	864-599-0889
Fax Number	:	864-599-0824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/08/2007

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