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General NPI Number Information
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NPI Number | 1093141970
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Entity Type | Organization
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Legal Business Name | CLINTON DISCOUNT PHARMACY LLC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 202 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2304
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Country | US
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Telephone | 864-387-7151
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Fax | 864-342-7938
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Provider Business Mailing Address
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Address Line | 202 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2304
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Country | US
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Telephone | 864-387-7151
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Fax | 864-342-7938
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Authorized Official
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Title or Position | PHARMACY CEO
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Name | VISHAL PATEL
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Credential |
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Telephone | 864-387-7151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 14833
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License Number State | SC
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