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General NPI Number Information
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NPI Number | 1730843350
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Entity Type | Organization
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Legal Business Name | THE PHARMACY CLUB, LLC
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 846 SAINT ANDREWS BLVD UNIT 2
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City | CHARLESTON
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State | SC
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Zip | 29407-7148
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Country | US
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Telephone | 843-822-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 846 SAINT ANDREWS BLVD STE A
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City | CHARLESTON
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State | SC
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Zip | 29407-7148
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Country | US
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Telephone | 843-718-3738
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST IN CHARGE
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Name | MORGAN CHAPMAN ECHANIQUE
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Credential | PHARM.D.
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Telephone | 843-718-3738
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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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