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General NPI Number Information
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NPI Number | 1447330675
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Entity Type | Organization
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Legal Business Name | LJB INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 2415 RING RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-765-2157
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Fax | 270-765-2357
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Provider Business Mailing Address
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Address Line | 2415 RING RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-7941
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Country | US
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Telephone | 270-765-2157
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Fax | 270-765-2357
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | KENT F. WILLIAMS
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Credential | PHARMD
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Telephone | 270-765-3335
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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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