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General NPI Number Information
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NPI Number | 1114991114
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Entity Type | Organization
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Legal Business Name | MMRX, INC.
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 408 E NORTH 1ST ST
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City | SENECA
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State | SC
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Zip | 29678-2742
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Country | US
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Telephone | 864-885-0548
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Fax | 864-885-0080
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Provider Business Mailing Address
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Address Line | 408 E NORTH 1ST ST
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City | SENECA
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State | SC
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Zip | 29678-2742
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Country | US
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Telephone | 864-885-0548
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Fax | 864-885-0080
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL A. MUIR
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Credential | R.PH.
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Telephone | 864-885-0548
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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 | 50-002396
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 50-002396
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50-002396
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License Number State | SC
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