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General NPI Number Information
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NPI Number | 1255855722
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Entity Type | Individual
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Provider Name | ZACHERY RYAN ROBINSON PHARMD, B.S.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1010 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2806
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Country | US
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Telephone | 843-249-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 BROOKGREEN DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-5872
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Country | US
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Telephone | 843-241-3995
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37264
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License Number State | SC
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