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General NPI Number Information
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NPI Number | 1093864654
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Entity Type | Organization
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Legal Business Name | EUREKA DRUG STORES, INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 1032 BROAD ST
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City | CAMDEN
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State | SC
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Zip | 29020-4308
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Country | US
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Telephone | 803-432-5851
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Fax | 803-432-7861
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Provider Business Mailing Address
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Address Line | 1032 BROAD ST
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City | CAMDEN
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State | SC
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Zip | 29020-4308
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Country | US
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Telephone | 803-432-5851
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Fax | 803-432-7861
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH M ROSS
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Credential |
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Telephone | 864-984-3541
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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 | 1844
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License Number State | SC
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