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General NPI Number Information
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NPI Number | 1326858655
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Entity Type | Organization
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Legal Business Name | JMRX LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 567 HIGHWAY 67 S STE A
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City | POCAHONTAS
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State | AR
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Zip | 72455-3773
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Country | US
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Telephone | 870-202-2536
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Fax | 870-202-2540
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Provider Business Mailing Address
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Address Line | PO BOX 572
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City | POCAHONTAS
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State | AR
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Zip | 72455-0572
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Country | US
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Telephone | 870-202-2536
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Fax |
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Authorized Official
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Title or Position | P.I.C. / OWNER
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Name | DR. GREGGORY TRENTON LANCE II
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Credential | PHARM.D.
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Telephone | 870-202-2536
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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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