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General NPI Number Information
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NPI Number | 1891193116
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Entity Type | Organization
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Legal Business Name | BILO PHARMACY
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 1315 S PLEASANTBURG DR
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City | GREENVILLE
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State | SC
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Zip | 29605-1330
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Country | US
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Telephone | 864-299-3491
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 S PLEASANTBURG DR
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City | GREENVILLE
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State | SC
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Zip | 29605-1330
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Country | US
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Telephone | 864-299-3491
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | WEBB HUDSPETH
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Credential |
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Telephone | 864-297-0445
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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 | 7095
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License Number State | SC
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