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General NPI Number Information
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NPI Number | 1144840026
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Entity Type | Organization
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Legal Business Name | SALUBRIUS PHARMACY, LLC
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 120 CLAIR DR
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City | POWDERSVILLE
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State | SC
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Zip | 29673-7771
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Country | US
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Telephone | 864-438-4872
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CLAIR DR
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City | POWDERSVILLE
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State | SC
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Zip | 29673-7771
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Country | US
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Telephone | 864-438-4872
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | NANCIE RICHBERG
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Credential | RPH
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Telephone | 215-868-1837
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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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