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NPI 1336217132

NPI 1336217132 : GEORGE PARKS PHARMACY : NORTH AUGUSTA, SC

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General NPI Number Information
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    NPI Number           |    1336217132
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE PARKS PHARMACY 
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Dates
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    Enumeration Date     |    12/01/2006
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    Last Update Date     |    02/18/2026
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Provider Practice Location Address
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    Address Line         |    437 GEORGIA AVE 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841
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    Country              |    US
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    Telephone            |    803-279-7450
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    Fax                  |    803-278-3018
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Provider Business Mailing Address
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    Address Line         |    437 GEORGIA AVE 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29841-3851
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    Country              |    US
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    Telephone            |    803-279-7450
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    Fax                  |    803-278-3018
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Authorized Official
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    Title or Position    |    AUTHORIZED USER
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    Name                 |     LAURA  KNOTTS 
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    Credential           |    
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    Telephone            |    803-279-7450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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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        |    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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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    2029
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    License Number State |    SC
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