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General NPI Number Information
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NPI Number | 1285268987
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Entity Type | Organization
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Legal Business Name | JR PHARMACY POPLAR LLC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1101 POPLAR ST
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City | TERRE HAUTE
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State | IN
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Zip | 47807-4565
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Country | US
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Telephone | 812-235-7373
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Fax | 812-478-0459
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Provider Business Mailing Address
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Address Line | 1238 S 3RD ST STE C
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City | TERRE HAUTE
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State | IN
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Zip | 47802-0018
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Country | US
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Telephone | 812-234-8305
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Fax | 812-234-0225
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY J WARREN
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Credential |
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Telephone | 765-828-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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