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General NPI Number Information
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NPI Number | 1154453405
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Entity Type | Organization
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Legal Business Name | MCGOWAN JONES PHARMACY INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 363 BURLINGTON RD
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City | SHANNON
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State | GA
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Zip | 30172-0154
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Country | US
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Telephone | 706-295-2505
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Fax | 706-295-1615
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Provider Business Mailing Address
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Address Line | 363 BURLINGTON RD
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City | SHANNON
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State | GA
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Zip | 30172-0154
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Country | US
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Telephone | 706-295-2505
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Fax | 706-295-1615
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Authorized Official
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Title or Position | PRESIDENT-CHIEF PHARMACIST
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Name | ROBERT JONES SR.
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Credential |
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Telephone | 706-295-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AM1194416
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License Number State | GA
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