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General NPI Number Information
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NPI Number | 1174648422
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Entity Type | Organization
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Legal Business Name | JIMS DISCOUNT DRUGS INC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 705 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-5729
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Country | US
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Telephone | 601-947-6331
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Fax | 601-947-1455
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Provider Business Mailing Address
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Address Line | 705 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-5729
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Country | US
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Telephone | 601-947-6331
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Fax | 601-947-1455
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE BUSBY
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Credential | R.PH.
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Telephone | 601-947-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 01518
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License Number State | MS
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