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NPI 1962685560

NPI 1962685560 : WOODROW WILSON COX JR. RPH : PAWLEYS ISLAND, SC

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General NPI Number Information
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    NPI Number           |    1962685560
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    Entity Type          |    Individual 
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    Provider Name        |    WOODROW WILSON COX JR. RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/06/2007
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    Last Update Date     |    12/06/2007
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Provider Practice Location Address
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    Address Line         |    9710 OCEAN HWY # 17 UNIT 1
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    City                 |    PAWLEYS ISLAND
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    State                |    SC
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    Zip                  |    29585-7585
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    Country              |    US
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    Telephone            |    843-235-4666
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    Fax                  |    843-235-9630
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Provider Business Mailing Address
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    Address Line         |    9710 OCEAN HWY # 17 UNIT 1
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    City                 |    PAWLEYS ISLAND
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    State                |    SC
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    Zip                  |    29585-7585
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    Country              |    US
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    Telephone            |    843-235-4666
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    Fax                  |    843-235-9630
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    3610
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    License Number State |    SC
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