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General NPI Number Information
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NPI Number | 1164527479
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Entity Type | Organization
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Legal Business Name | E.W. JAMES & SONS
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5024 S 1ST ST
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City | MILAN
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State | TN
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Zip | 38358-3196
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Country | US
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Telephone | 731-686-7411
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Fax | 731-686-2166
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Provider Business Mailing Address
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Address Line | 1308-14 NAILING DRIVE
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City | UNION CITY
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State | TN
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Zip | 38261-1928
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Country | US
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Telephone | 731-885-0601
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Fax | 731-885-9334
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | BOBBY RUSSELL
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Credential | PHARMACIST
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Telephone | 731-885-9441
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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 | 3936
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License Number State | TN
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