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General NPI Number Information
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NPI Number | 1386066132
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Entity Type | Organization
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Legal Business Name | DILLON COMMUNITY PHARMACY, INC.
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 200 W HARRISON ST STE A
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City | DILLON
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State | SC
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Zip | 29536-3331
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Country | US
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Telephone | 843-774-4749
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Fax | 843-627-0077
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Provider Business Mailing Address
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Address Line | 200 W HARRISON ST STE A
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City | DILLON
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State | SC
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Zip | 29536-3331
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Country | US
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Telephone | 843-774-4749
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Fax | 843-627-0077
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Authorized Official
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Title or Position | PHARMACIST
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Name | WILLIAM DUNLAP
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Credential | RPH
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Telephone | 803-984-1560
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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 |
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License Number State |
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