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General NPI Number Information
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NPI Number | 1316580939
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Entity Type | Organization
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Legal Business Name | JW PHARMACY INC
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Dates
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Enumeration Date | 10/27/2019
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 34 US HIGHWAY 68 E UNIT A
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City | BENTON
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State | KY
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Zip | 42025-8336
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Country | US
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Telephone | 270-527-9374
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Fax | 270-527-3152
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Provider Business Mailing Address
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Address Line | PO BOX 766
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City | BENTON
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State | KY
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Zip | 42025-0766
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Country | US
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Telephone | 270-527-9374
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Fax | 270-527-3152
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW BROWN
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Credential |
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Telephone | 270-410-1124
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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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