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NPI Code Detail

MEDICARE: CHANNING TONEY GARRETT PHARMD

MEDICARE: CHANNING TONEY GARRETT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13702SC

General Provider Information

NPI Number : 1063761062
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANNING TONEY GARRETT PHARMD
Provider Business Mailing Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5124
Country : US
Telephone Number : 864-599-0820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 09/12/2012

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Directions to “ CHANNING TONEY GARRETT PHARMD” Practice Location

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