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General NPI Number Information
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NPI Number | 1962243568
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Entity Type | Organization
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Legal Business Name | NETWORK PHARMACY WO, LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1233 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2258
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Country | US
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Telephone | 864-582-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 WOODRUFF RD STE 28
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City | GREENVILLE
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State | SC
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Zip | 29607-5730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TERRY LEEMAN
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Credential |
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Telephone | 615-890-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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