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General NPI Number Information
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NPI Number | 1275756223
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Entity Type | Organization
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Legal Business Name | TELLIS PHARMACY INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 125 KING ST
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City | CHARLESTON
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State | SC
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Zip | 29401-2208
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Country | US
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Telephone | 843-723-0682
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Fax |
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Provider Business Mailing Address
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Address Line | 125 KING ST
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City | CHARLESTON
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State | SC
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Zip | 29401-2208
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Country | US
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Telephone | 843-423-0682
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. VERA J TELLIS
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Credential | RPH BS PHARM
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Telephone | 843-723-0682
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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 | SC
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