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General NPI Number Information
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NPI Number | 1003972985
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Entity Type | Organization
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Legal Business Name | J H LEASE DRUG CO
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 229 N ELLSWORTH AVE
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City | SALEM
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State | OH
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Zip | 44460-2803
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Country | US
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Telephone | 330-337-8727
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Fax | 330-337-1303
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Provider Business Mailing Address
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Address Line | 229 N ELLSWORTH AVE
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City | SALEM
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State | OH
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Zip | 44460-2803
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Country | US
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Telephone | 330-337-8727
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Fax | 330-337-1303
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Authorized Official
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Title or Position | OWNER
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Name | JASON PERKINS
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Credential | RPH
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Telephone | 330-337-8727
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 020143250
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License Number State | OH
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