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General NPI Number Information
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NPI Number | 1730554650
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Entity Type | Organization
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Legal Business Name | ULMER FAMILY PHARMACY AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 68 BLUFFTON RD STE 5&6
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City | BLUFFTON
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State | SC
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Zip | 29910-8961
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Country | US
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Telephone | 843-384-1527
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3068
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City | BLUFFTON
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State | SC
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Zip | 29910-3068
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PIC
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Name | CATHY ULMER
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Credential | PHARMD
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Telephone | 843-384-1527
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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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