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General NPI Number Information
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NPI Number | 1790306363
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Entity Type | Organization
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Legal Business Name | CONWAY PHARMACY LLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1219 16TH AVE
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City | CONWAY
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State | SC
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Zip | 29526-3454
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Country | US
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Telephone | 843-488-3535
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Fax | 843-488-3435
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Provider Business Mailing Address
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Address Line | 1219 16TH AVE
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City | CONWAY
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State | SC
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Zip | 29526-3454
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Country | US
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Telephone | 843-488-3535
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Fax | 843-488-3435
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Authorized Official
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Title or Position | OWNER
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Name | MAGDY HANNA
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Credential |
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Telephone | 732-266-9359
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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