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General NPI Number Information
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NPI Number | 1487412672
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Entity Type | Organization
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Legal Business Name | HARNESS HEALTH PHARMACY - SOUTH CAROLINA LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1 SAINT FRANCIS DR
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City | GREENVILLE
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State | SC
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Zip | 29601-3955
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Country | US
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Telephone | 864-537-3080
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Fax | 864-735-3081
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Provider Business Mailing Address
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Address Line | 1 SAINT FRANCIS DR
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City | GREENVILLE
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State | SC
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Zip | 29601-3955
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSEMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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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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