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General NPI Number Information
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NPI Number | 1760589600
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Entity Type | Organization
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Legal Business Name | PIGGLY WIGGLY #35
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 842 S 5TH ST
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City | HARTSVILLE
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State | SC
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Zip | 29550-5697
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Country | US
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Telephone | 843-332-0762
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Fax | 843-383-9576
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Provider Business Mailing Address
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Address Line | 842 S 5TH ST
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City | HARTSVILLE
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State | SC
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Zip | 29550-5697
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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
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Name | W R MCLEOD
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Credential | RPH
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Telephone | 803-775-1334
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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 | 50008929
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License Number State | SC
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Taxonomy #2
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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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