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General NPI Number Information
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NPI Number | 1053487967
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Entity Type | Organization
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Legal Business Name | PIEDMONT PHARMACY ASSCOCIATES INC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 302 N MAIN ST C
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City | LANCASTER
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State | SC
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Zip | 29720-2132
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Country | US
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Telephone | 803-286-8855
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Fax | 803-286-5079
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Provider Business Mailing Address
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Address Line | 302 C NORTH MAIN ST
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City | LANCASTER
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State | SC
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Zip | 29720
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Country | US
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Telephone | 803-286-8855
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Fax | 803-286-5079
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Authorized Official
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Title or Position | PHARMACISTOWNER
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Name | MR. EDDIE L. GARRETT V
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Credential | PHARMACIST
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Telephone | 803-286-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50007293
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License Number State | SC
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