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General NPI Number Information
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NPI Number | 1417387770
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Entity Type | Organization
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Legal Business Name | HORACES PHARMACY LLC
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 1525 CELANESE RD STE 107
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City | ROCK HILL
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State | SC
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Zip | 29732-1723
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Country | US
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Telephone | 803-487-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 2839 ARROWWOOD LN
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City | ROCK HILL
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State | SC
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Zip | 29732-8444
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Country | US
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Telephone | 803-487-6824
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/ OWNER
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Name | MR. JOHNNY JAY HORACE
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Credential | R.PH.
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Telephone | 803-487-6824
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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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