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General NPI Number Information
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NPI Number | 1538660931
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Entity Type | Organization
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Legal Business Name | PC COMMUNITY CARE PHARMACY
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 307 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2305
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Country | US
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Telephone | 864-938-3932
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Fax | 888-972-4548
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Provider Business Mailing Address
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Address Line | 307 N BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2305
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Country | US
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Telephone | 864-938-3932
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Fax | 888-972-4548
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | NANCY A TAYLOR
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Credential | PHARMACIST
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Telephone | 803-518-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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