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General NPI Number Information
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NPI Number | 1316057003
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Entity Type | Organization
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Legal Business Name | KERR DRUG INC A DELAWARE COMPANY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4411 DURANT AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-5300
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Country | US
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Telephone | 843-747-9661
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Fax | 843-744-4385
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Provider Business Mailing Address
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Address Line | 4411 DURANT AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-5300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | LAURA HYATT
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Credential | RPH
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Telephone | 843-747-9661
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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 | 3936
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License Number State | SC
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Taxonomy #2
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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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