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General NPI Number Information
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NPI Number | 1164426938
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Entity Type | Organization
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Legal Business Name | BLOCKER & TIMMERMAN DRUG CO.,INC.
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 300 MAIN ST
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City | EDGEFIELD
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State | SC
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Zip | 29824-1326
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Country | US
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Telephone | 803-637-6155
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Fax | 803-637-3753
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Provider Business Mailing Address
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Address Line | 300 MAIN ST
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City | EDGEFIELD
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State | SC
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Zip | 29824-1326
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Country | US
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Telephone | 803-637-6155
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Fax | 803-637-3753
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACK B. HODGE
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Credential | R.PH.
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Telephone | 803-637-6155
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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 | 50-000987
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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 | 50-000987
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License Number State | SC
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