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General NPI Number Information
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NPI Number | 1174734198
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Entity Type | Organization
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Legal Business Name | ATLANTIC PHARMACY SERVICES
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2090 EXECUTIVE HALL RD SUITE 100
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City | CHARLESTON
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State | SC
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Zip | 29407-8709
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Country | US
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Telephone | 843-554-4000
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Fax | 843-769-6849
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Provider Business Mailing Address
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Address Line | 2090 EXECUTIVE HALL RD SUITE 100
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City | CHARLESTON
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State | SC
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Zip | 29407-8709
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Country | US
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Telephone | 843-554-4000
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Fax | 843-769-6849
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMARA J WILLIAMS
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Credential |
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Telephone | 843-554-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 50003665
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License Number State | SC
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