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General NPI Number Information
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NPI Number | 1124751862
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Entity Type | Organization
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Legal Business Name | OASIS PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1173 SUNSET BOULEVARD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-6863
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Country | US
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Telephone | 803-233-6161
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Fax | 803-233-1932
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Provider Business Mailing Address
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Address Line | PO BOX 2778
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-2778
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Country | US
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Telephone | 803-233-6161
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Fax | 803-233-1932
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Authorized Official
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Title or Position | OWNER/MEMBER MANAGER
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Name | MRS. STEPHANIE GRAHAM WISE
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Credential | PHARMD
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Telephone | 803-233-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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