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General NPI Number Information
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NPI Number | 1265307698
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Entity Type | Organization
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Legal Business Name | LITTLE RIVER MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 5605 HIGHWAY 501 E
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City | AYNOR
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State | SC
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Zip | 29511-3470
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Country | US
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Telephone | 843-663-8207
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | LITTLE RIVER
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State | SC
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Zip | 29566-0547
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Country | US
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Telephone | 843-663-8031
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Fax | 843-663-8031
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | MR. KRISTOPHER CHIPLINSKI
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Credential | PHARMD
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Telephone | 843-663-8031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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