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NPI Code Detail

MEDICARE: CAMDEN JAMES HARLEY PHARMD

MEDICARE: CAMDEN JAMES HARLEY 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
1183500000XPharmacist37087SC

General Provider Information

NPI Number : 1144758681
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMDEN JAMES HARLEY PHARMD
Provider Business Mailing Address
First Line : 110 BREAKERS DR UNIT 522
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-4419
Country : US
Telephone Number : 724-600-5625
Fax Number :
Provider Business Practice Location Address
First Line : 3701 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-2977
Country : US
Telephone Number : 843-448-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2017
Last Update Date : 05/29/2017

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