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General NPI Number Information
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NPI Number | 1285706069
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Entity Type | Organization
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Legal Business Name | G AND M PHARMACY INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 325 SOUTHWEST DR SUITE A
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City | JONESBORO
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State | AR
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Zip | 72401-5854
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Country | US
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Telephone | 870-935-1340
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Fax | 870-935-3329
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Provider Business Mailing Address
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Address Line | 325 SOUTHWEST DR SUITE A
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City | JONESBORO
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State | AR
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Zip | 72401-5854
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Country | US
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Telephone | 870-935-1340
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Fax | 870-935-3328
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | PRESTON JETT JONES
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Credential | PHARMD
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Telephone | 870-935-1340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 0417205
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License Number State | AR
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