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General NPI Number Information
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NPI Number | 1982763603
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Entity Type | Organization
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Legal Business Name | GUARDIAN PHARMACY OF SOUTH CAROLINA ONE
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2265 CLEMENTS FERRY RD STE 410
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City | CHARLESTON
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State | SC
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Zip | 29492-8536
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Country | US
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Telephone | 843-545-8800
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Fax | 800-538-3761
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Provider Business Mailing Address
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Address Line | GUARDIAN PHARMACY OF SOUTH CAROLINA ONE DEPT 2366 P.O. BOX 11407
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City | BIRMINGHAM
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State | AL
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Zip | 35246-0001
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Country | US
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Telephone | 404-810-0089
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Fax | 404-810-0094
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID WHITLOCK
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Credential |
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Telephone | 843-545-8800
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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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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 9280
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License Number State | SC
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