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General NPI Number Information
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NPI Number | 1609982636
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Entity Type | Organization
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Legal Business Name | JAMISONS PHARMACY INC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 1225 GOFF AVE
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City | ORANGEBURG
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State | SC
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Zip | 29115-3671
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Country | US
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Telephone | 803-536-2165
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Fax | 803-533-1216
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Provider Business Mailing Address
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Address Line | 1225 GOFF AVE
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City | ORANGEBURG
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State | SC
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Zip | 29115-3671
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Country | US
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Telephone | 803-536-2165
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Fax | 803-533-1216
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARK A JAMISON
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Credential | PHARM. D.
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Telephone | 803-536-2165
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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 | 50000571
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License Number State | SC
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