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General NPI Number Information
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NPI Number | 1134874290
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Entity Type | Organization
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Legal Business Name | JONES DRUG STORE P.C.
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 101 W MAIN ST
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City | JONES
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State | OK
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Zip | 73049-7586
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Country | US
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Telephone | 405-399-2277
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Fax | 405-399-3277
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Provider Business Mailing Address
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Address Line | 101 W MAIN ST
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City | JONES
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State | OK
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Zip | 73049-7586
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Country | US
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Telephone | 405-399-2277
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Fax | 405-399-3277
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY SIMONS
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Credential | RPH
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Telephone | 405-742-8099
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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