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General NPI Number Information
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NPI Number | 1467000588
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Entity Type | Organization
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Legal Business Name | OCONEE NEIGHBORHOOD PHARMACY LLC
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 205 STORK WAY
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City | SENECA
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State | SC
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Zip | 29678-1039
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Country | US
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Telephone | 864-886-1096
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Fax | 864-973-9100
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Provider Business Mailing Address
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Address Line | 205 STORK WAY
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City | SENECA
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State | SC
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Zip | 29678-1039
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Country | US
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Telephone | 864-886-1096
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Fax | 864-973-9100
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. KIRAN KUMAR ALLU
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Credential |
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Telephone | 864-886-1096
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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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