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General NPI Number Information
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NPI Number | 1538105424
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Entity Type | Organization
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Legal Business Name | CRJ HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1028 CHAMBERS ST STE A
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City | OGDEN
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State | UT
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Zip | 84403-5181
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Country | US
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Telephone | 801-479-0331
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Fax | 855-273-1877
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Provider Business Mailing Address
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Address Line | 1028 CHAMBERS ST STE A
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City | OGDEN
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State | UT
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Zip | 84403-5181
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Country | US
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Telephone | 801-479-0331
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Fax | 855-273-1877
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE R JACOBSON-WARE
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Credential | RPH
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Telephone | 801-479-0331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 48081501703
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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