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General NPI Number Information
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NPI Number | 1023156262
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Entity Type | Organization
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Legal Business Name | JONES DRUG INC.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/13/2013
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Provider Practice Location Address
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Address Line | 7 MAIN ST
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City | NATICK
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State | MA
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Zip | 01760-4505
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Country | US
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Telephone | 508-653-1820
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Fax | 508-653-2685
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Provider Business Mailing Address
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Address Line | 7 MAIN ST
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City | NATICK
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State | MA
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Zip | 01760-4505
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Country | US
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Telephone | 508-653-1820
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Fax | 508-653-2685
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD PERISTERE
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Credential | RPH
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Telephone | 508-653-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1340
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License Number State | MA
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