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General NPI Number Information
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NPI Number | 1194077560
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Entity Type | Organization
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Legal Business Name | J&J PHARMS. LLC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 112 E CARNAHAN ST
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City | HOLYOKE
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State | CO
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Zip | 80734-1007
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Country | US
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Telephone | 970-854-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 112 E CARNAHAN ST
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City | HOLYOKE
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State | CO
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Zip | 80734-1007
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Country | US
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Telephone | 970-854-3663
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | JAMIE RAY HANES
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Credential | PHARM.D.
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Telephone | 970-854-3663
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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 |
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License Number State |
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