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General NPI Number Information
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NPI Number | 1447236583
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Entity Type | Organization
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Legal Business Name | T & J ENTERPRISES, INC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2402 ADAMS AVE
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City | HUNTINGTON
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State | WV
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Zip | 25704-1322
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Country | US
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Telephone | 304-429-6716
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Fax | 304-429-1924
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Provider Business Mailing Address
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Address Line | 2402 ADAMS AVE
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City | HUNTINGTON
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State | WV
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Zip | 25704-1322
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Country | US
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Telephone | 304-429-6716
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Fax | 304-429-1924
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGELA S RONK
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Credential | R.PH.
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Telephone | 304-429-6716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | SP0550702
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License Number State | WV
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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 | SP0550702
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License Number State | WV
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