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NPI 1942031836

NPI 1942031836 : JENNA K BROPHY-WELLS PHARMD : BEAUFORT, SC

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General NPI Number Information
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    NPI Number           |    1942031836
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    Entity Type          |    Individual 
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    Provider Name        |    JENNA K BROPHY-WELLS PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2024
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    1 PINCKNEY BLVD 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29902-6122
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    Country              |    US
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    Telephone            |    843-228-5404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 PINCKNEY BLVD 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29902-6122
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    Country              |    US
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    Telephone            |    843-228-5404
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    024530
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    License Number State |    KY
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