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General NPI Number Information
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NPI Number | 1528058187
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Entity Type | Organization
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Legal Business Name | JONES PHARMACY ENTERPRISES INC
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 5123A SOUTH BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28217-2709
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Country | US
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Telephone | 704-522-1138
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Fax | 704-525-5106
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Provider Business Mailing Address
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Address Line | PO BOX 11527
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City | CHARLOTTE
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State | NC
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Zip | 28220-1527
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Country | US
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Telephone | 704-522-1138
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Fax | 704-525-5106
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Authorized Official
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Title or Position | V PRESIDENT
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Name | MS. JONNIE E HILDRELTH
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Credential | RPH
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Telephone | 704-522-1138
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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 | 7450
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License Number State | NC
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