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General NPI Number Information
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NPI Number | 1457382681
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Entity Type | Organization
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Legal Business Name | PATTON PHARMACY, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 345 S MAIN ST
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City | WOODRUFF
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State | SC
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Zip | 29388-1867
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Country | US
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Telephone | 864-476-2111
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Fax | 864-476-6012
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Provider Business Mailing Address
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Address Line | 345 S MAIN ST
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City | WOODRUFF
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State | SC
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Zip | 29388-1867
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Country | US
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Telephone | 864-476-2111
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Fax | 864-476-6012
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. JOHN STEPHEN PATTON
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Credential |
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Telephone | 864-476-2111
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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 | 50-000765
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License Number State | SC
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