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General NPI Number Information
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NPI Number | 1780588871
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Entity Type | Individual
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Provider Name | CARRIE T RICKENBAKER ROGERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 360 N IRBY ST
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City | FLORENCE
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State | SC
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Zip | 29501-2808
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Country | US
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Telephone | 843-667-9414
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Fax | 843-647-6457
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Provider Business Mailing Address
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Address Line | 1032 ACKERMAN DR
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City | SUMMERTON
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State | SC
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Zip | 29148-7550
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Country | US
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Telephone | 803-460-1592
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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 | 67916
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License Number State | SC
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