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General NPI Number Information
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NPI Number | 1164596433
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Entity Type | Organization
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Legal Business Name | JAMES DRUG INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 WEST MAIN ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3710
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Country | US
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Telephone | 972-937-4710
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Fax | 972-937-1002
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Provider Business Mailing Address
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Address Line | 100 WEST MAIN ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3710
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Country | US
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Telephone | 972-937-4710
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Fax | 972-937-1002
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MR. JAMES B DEWITT SR.
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Credential | RPH
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Telephone | 972-937-4710
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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 | 730
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License Number State | TX
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