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NPI Code Detail

MEDICARE: ORACLE PHARMACY

MEDICARE: ORACLE PHARMACY
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
13336C0003XCommunity/Retail Pharmacy
23336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1255982567
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORACLE PHARMACY
Provider Business Mailing Address
First Line : 157 ARMISTEAD LN
Second Line :
City : EASLEY
State : SC
Zip : 29642-8636
Country : US
Telephone Number : 256-503-5535
Fax Number :
Provider Business Practice Location Address
First Line : 1040 S PENDLETON ST STE C
Second Line :
City : EASLEY
State : SC
Zip : 29642-1047
Country : US
Telephone Number : 256-503-5535
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JERRY ANTHONY SHELBY III
Credential : PHARMD
Telephone Number : 256-503-5535
Provider Enumeration Date : 09/27/2019
Last Update Date : 09/27/2019

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Directions to “ORACLE PHARMACY ” Practice Location

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