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General NPI Number Information
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NPI Number | 1033418827
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Entity Type | Organization
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Legal Business Name | JAMORX PHARMACY INC.,
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 650 SAINT LOUIS AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3346
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Country | US
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Telephone | 817-332-4004
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Fax | 817-332-4224
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Provider Business Mailing Address
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Address Line | 650 SAINT LOUIS AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-3346
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Country | US
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Telephone | 817-332-4004
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Fax | 817-332-4224
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACOB AKOTAOBI
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Credential | R.PH
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Telephone | 972-263-5816
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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 |
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License Number State | TX
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