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General NPI Number Information
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NPI Number | 1013880491
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Entity Type | Organization
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Legal Business Name | HILTON HEAD PHARMACY
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5 PARK LN STE B
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-3426
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Country | US
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Telephone | 803-361-8650
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Fax | 843-757-1034
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Provider Business Mailing Address
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Address Line | 5 PARK LN STE B
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-3426
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Country | US
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Telephone | 803-361-8650
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Fax | 843-757-1034
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT VAUGHN
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Credential | PHARMD
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Telephone | 843-757-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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