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General NPI Number Information
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NPI Number | 1629543541
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Entity Type | Individual
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Provider Name | ZACHARY WILLIAM MULLIN PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2018
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 776 DANIEL ELLIS DR STE 2C
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City | CHARLESTON
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State | SC
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Zip | 29412-3096
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Country | US
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Telephone | 843-795-9554
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Fax | 843-795-2660
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Provider Business Mailing Address
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Address Line | 3306 SWEET PL
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City | CHARLESTON
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State | SC
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Zip | 29492-2845
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Country | US
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Telephone | 507-304-5351
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37725
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License Number State | SC
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