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General NPI Number Information
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NPI Number | 1366456634
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Entity Type | Organization
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Legal Business Name | SOCIETY HILL PHARMACY
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 743 S MAIN ST
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City | SOCIETY HILL
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State | SC
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Zip | 29593
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Country | US
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Telephone | 843-378-0200
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Fax | 843-378-0202
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Provider Business Mailing Address
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Address Line | PO BOX 356 SOCIETY HILL PHARMACY
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City | SOCIETY HILL
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State | SC
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Zip | 29593
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Country | US
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Telephone | 843-378-0200
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Fax | 843-378-0202
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Authorized Official
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Title or Position | OWNER
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Name | GORDON M HERNDON
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Credential | RPH
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Telephone | 843-378-0200
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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 | 50001651
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 50001651
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License Number State | SC
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