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General NPI Number Information
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NPI Number | 1578015509
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Entity Type | Organization
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Legal Business Name | CAROLINA FAMILY PHARMACY, LLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 9153 TWO NOTCH ROAD
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City | COLUMBIA
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State | SC
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Zip | 29223
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Country | US
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Telephone | 803-223-9193
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Fax | 877-837-4072
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Provider Business Mailing Address
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Address Line | 9300 TWO NOTCH ROAD
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City | COLUMBIA
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State | SC
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Zip | 29223
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Country | US
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Telephone | 803-223-9193
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Fax | 877-837-4072
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Authorized Official
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Title or Position | MANAGER
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Name | CHRIS YOUNG
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Credential |
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Telephone | 803-514-3483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 3535
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License Number State | SC
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