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General NPI Number Information
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NPI Number | 1285162305
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Entity Type | Organization
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Legal Business Name | RICHBURG DISCOUNT PHARMACY LLC
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 3191 LANCASTER HWY STE H
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City | RICHBURG
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State | SC
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Zip | 29729
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Country | US
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Telephone | 803-500-2998
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Fax | 803-619-2211
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Provider Business Mailing Address
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Address Line | 3191 LANCASTER HWY STE H
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City | RICHBURG
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State | SC
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Zip | 29729-9238
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Country | US
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Telephone | 803-500-2998
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Fax | 803-619-2211
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | HITESH BHIMANI
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Credential | PHARMACIST
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Telephone | 803-500-2998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17278
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License Number State | SC
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