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General NPI Number Information
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NPI Number | 1235601147
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Entity Type | Organization
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Legal Business Name | J&JL ENTERPRISES, LLC D/B/A J&J LOUIS ENTERPRISES, LLC (JOHN'S PHARMAC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 9048 BONITA BEACH RD SE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4237
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Country | US
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Telephone | 239-221-7233
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Fax | 855-765-7704
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Provider Business Mailing Address
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Address Line | 10469 CAROLINA WILLOW DR
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City | FORT MYERS
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State | FL
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Zip | 33913-8809
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Country | US
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Telephone | 954-376-1478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUSNER JEAN-LOUIS
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Credential |
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Telephone | 239-221-7233
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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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