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NPI 1942308572

NPI 1942308572 : DANIELS PHARMACY OF NORWAY : NORWAY, SC

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General NPI Number Information
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    NPI Number           |    1942308572
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIELS PHARMACY OF NORWAY 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    11/30/2007
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Provider Practice Location Address
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    Address Line         |    8412 SAVANNAH HIGHWAY 
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    City                 |    NORWAY
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    State                |    SC
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    Zip                  |    29113
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    Country              |    US
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    Telephone            |    803-263-4795
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    Fax                  |    803-263-4809
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Provider Business Mailing Address
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    Address Line         |    PO BOX 310 
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    City                 |    NORWAY
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    State                |    SC
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    Zip                  |    29113-0310
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    Country              |    US
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    Telephone            |    803-263-4795
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    Fax                  |    803-263-4809
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JOSEPH A. WILLIAMSON JR.
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    Credential           |    PHARMACIST
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    Telephone            |    803-263-4795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    50002541
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    License Number State |    SC
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