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General NPI Number Information
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NPI Number | 1427105576
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Entity Type | Organization
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Legal Business Name | PFJ CORPORATION INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 616 N STATE HIGHWAY 47 STE C
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City | WARRENTON
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State | MO
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Zip | 63383-1100
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Country | US
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Telephone | 636-456-5570
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Fax | 636-456-5980
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Provider Business Mailing Address
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Address Line | 616 N STATE HIGHWAY 47 STE C
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City | WARRENTON
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State | MO
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Zip | 63383-1100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SEC AND TRES
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Name | RANDY POWERS
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Credential |
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Telephone | 636-456-5570
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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 | 006167
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License Number State | MO
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