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General NPI Number Information
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NPI Number | 1891834156
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Entity Type | Organization
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Legal Business Name | HARDEEVILLE PHARMACY INC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21361 WHYTE HARDEE BLVD
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City | HARDEEVILLE
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State | SC
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Zip | 29927-0623
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Country | US
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Telephone | 843-784-6222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | HARDEEVILLE
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State | SC
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Zip | 29927-0623
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Country | US
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Telephone | 843-784-6222
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | JOSEPH TIMOTHY DYCHES
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Credential | RPH
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Telephone | 843-784-6222
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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 |
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License Number State |
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