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General NPI Number Information
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NPI Number | 1679364939
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Entity Type | Individual
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Provider Name | RICHARD ANTHONY DAVIS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1451 RETAIL ROW
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City | HARTSVILLE
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State | SC
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Zip | 29550-4258
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Country | US
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Telephone | 843-383-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 JASON DR
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City | FLORENCE
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State | SC
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Zip | 29505-3219
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Country | US
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Telephone | 843-230-7161
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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 | 11737
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9845
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License Number State | SC
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