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General NPI Number Information
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NPI Number | 1154289429
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Entity Type | Organization
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Legal Business Name | JONES PRESCRIPTION SHOP, INC.
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 101 PEACHTREE ST
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City | JESUP
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State | GA
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Zip | 31545-0211
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Country | US
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Telephone | 912-427-8825
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Fax | 912-530-6169
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Provider Business Mailing Address
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Address Line | 101 PEACHTREE ST
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City | JESUP
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State | GA
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Zip | 31545-0211
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Country | US
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Telephone | 912-427-8825
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Fax | 912-530-6169
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MYRON STUART ANDERSON
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Credential | DR
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Telephone | 912-427-8825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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