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General NPI Number Information
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NPI Number | 1841280625
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Entity Type | Organization
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Legal Business Name | KEMPSON REXALL DRUGS INC
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 27 N MAIN ST
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City | INMAN
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State | SC
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Zip | 29349-1425
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Country | US
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Telephone | 864-472-2136
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Fax | 864-472-2136
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Provider Business Mailing Address
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Address Line | 27 N MAIN ST
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City | INMAN
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State | SC
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Zip | 29349-1425
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Country | US
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Telephone | 864-472-2136
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Fax | 864-472-2136
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Authorized Official
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Title or Position | PHARMACIST/VICE PRESIDENT
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Name | MARIANNE SMITH
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Credential |
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Telephone | 864-472-2136
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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 | 2209
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License Number State | SC
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