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General NPI Number Information
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NPI Number | 1285943464
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Entity Type | Organization
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Legal Business Name | C J PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 422 MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-4343
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Country | US
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Telephone | 970-526-9417
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Fax | 907-522-1432
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Provider Business Mailing Address
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Address Line | PO BOX 531
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City | STERLING
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State | CO
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Zip | 80751-0531
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Country | US
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Telephone | 970-526-9417
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Fax | 970-522-1432
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JENAE LORENZO LOCK
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Credential |
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Telephone | 970-466-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 807
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License Number State | CO
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