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General NPI Number Information
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NPI Number | 1154658169
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Entity Type | Organization
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Legal Business Name | JONES TOTAL HEALTH PHARMACY LLC
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 1130 W SUNRISE BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-7165
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Country | US
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Telephone | 954-533-1244
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Fax | 954-306-6905
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Provider Business Mailing Address
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Address Line | 401 E LAS OLAS BLVD SUITE 130-376
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHERESE JONES
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Credential |
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Telephone | 904-613-2258
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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 | PH24340
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License Number State | FL
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