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General NPI Number Information
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NPI Number | 1366420275
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Entity Type | Organization
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Legal Business Name | TAYLORS DRUG CO INC
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3324 WADE HAMPTON BLVD
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City | TAYLORS
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State | SC
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Zip | 29687-2902
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Country | US
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Telephone | 864-244-1513
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Fax | 864-322-6801
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Provider Business Mailing Address
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Address Line | PO BOX 5 3324 WADE HAMPTON BLVD
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City | TAYLORS
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State | SC
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Zip | 29687
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Country | US
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Telephone | 864-244-1513
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Fax | 864-322-6801
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | MR. MAXIE E EDWARDS
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Credential | RPH
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Telephone | 864-244-1513
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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 | 1529
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License Number State | SC
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