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General NPI Number Information
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NPI Number | 1649205675
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Entity Type | Organization
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Legal Business Name | BERLEYS PHARMACY INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 16 BURR ST
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City | BARNWELL
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State | SC
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Zip | 29812
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Country | US
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Telephone | 803-259-3541
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Fax | 803-259-3630
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Provider Business Mailing Address
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Address Line | 16 BURR ST
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City | BARNWELL
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State | SC
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Zip | 29812
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Country | US
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Telephone | 803-259-3541
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Fax | 803-259-3630
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Authorized Official
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Title or Position | PRES OWNER
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Name | MR. BERLEY CROMER LINDLER JR.
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Credential | PHARMACIST
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Telephone | 803-259-3541
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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 | 2944
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License Number State | SC
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