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General NPI Number Information
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NPI Number | 1356906903
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Entity Type | Organization
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Legal Business Name | PHV LLV
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 1645 J A COCHRAN BYP STE G
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City | CHESTER
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State | SC
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Zip | 29706-3102
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Country | US
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Telephone | 803-581-1095
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Fax | 803-845-3724
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Provider Business Mailing Address
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Address Line | 1645 J A COCHRAN BYP STE G
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City | CHESTER
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State | SC
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Zip | 29706-3102
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Country | US
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Telephone | 803-581-1095
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Fax | 803-845-3724
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | VERONICA VARZARU
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Credential | PHARMACIST
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Telephone | 803-581-1095
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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 |
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License Number State |
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