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General NPI Number Information
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NPI Number | 1114736840
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Entity Type | Organization
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Legal Business Name | S AND J DRUG COMPANY, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 102 W HAMLET ST
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City | PINETOPS
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State | NC
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Zip | 27864-8847
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Country | US
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Telephone | 252-250-3910
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Fax | 252-250-3925
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Provider Business Mailing Address
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Address Line | PO BOX 1984
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-1984
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Country | US
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Telephone | 252-250-3910
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Fax | 252-250-3925
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Authorized Official
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Title or Position | PHARMACY MANAGER / OWNER
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Name | JESSI STALLINGS
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Credential | PHARMD
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Telephone | 252-250-3910
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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 |
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License Number State |
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