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General NPI Number Information
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NPI Number | 1831167873
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Entity Type | Organization
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Legal Business Name | DISCOUNT DRUG OF SWANSEA, INC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 N CHURCH ST
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City | SWANSEA
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State | SC
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Zip | 29160-0985
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Country | US
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Telephone | 803-568-3251
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Fax | 803-568-7590
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Provider Business Mailing Address
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Address Line | PO BOX 985
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City | SWANSEA
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State | SC
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Zip | 29160-0985
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Country | US
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Telephone | 803-568-3251
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Fax | 803-568-7590
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Authorized Official
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Title or Position | PIC
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Name | MR. ANTHONY BUCK RAY
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Credential | RPH
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Telephone | 803-568-3251
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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 | 50004013
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License Number State | SC
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