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General NPI Number Information
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NPI Number | 1346571460
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Entity Type | Organization
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Legal Business Name | PALMETTO FAMILY PHARMACY
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 1030 OAKLAND AVE STE 101
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City | ROCK HILL
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State | SC
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Zip | 29732-3074
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Country | US
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Telephone | 803-980-7272
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Fax | 803-980-6969
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Provider Business Mailing Address
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Address Line | 1030 OAKLAND AVE SUITE 101
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City | ROCK HILL
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State | SC
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Zip | 29732-3035
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Country | US
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Telephone | 803-980-7272
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Fax | 803-980-6969
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Authorized Official
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Title or Position | CO-OWNER
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Name | BRANDON HALL
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Credential |
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Telephone | 803-981-4957
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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 | 10788
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License Number State | SC
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