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General NPI Number Information
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NPI Number | 1770628653
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Entity Type | Organization
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Legal Business Name | HAWTHORNE PELION PHARMACY, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 8073 EDMUND HIGHWAY
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City | PELION
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State | SC
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Zip | 29123-9805
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Country | US
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Telephone | 803-894-4010
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Fax | 803-894-5150
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | PELION
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State | SC
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Zip | 29123-0506
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Country | US
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Telephone | 803-227-4464
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Fax | 803-638-6972
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIE CASSIDY
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Credential |
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Telephone | 803-227-4464
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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 | 2188
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License Number State | SC
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