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General NPI Number Information
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NPI Number | 1619949369
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Entity Type | Organization
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Legal Business Name | BISHOPVILLE DRUG CO INC
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 302 S MAIN ST
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City | BISHOPVILLE
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State | SC
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Zip | 29010-1422
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Country | US
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Telephone | 803-484-3784
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Fax | 803-484-4778
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Provider Business Mailing Address
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Address Line | 302 S MAIN ST
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City | BISHOPVILLE
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State | SC
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Zip | 29010-1422
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Country | US
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Telephone | 803-484-3784
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | WILLIAM GRANT FREEMAN
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Credential | RPH
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Telephone | 803-484-3784
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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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