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General NPI Number Information
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NPI Number | 1538204656
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Entity Type | Organization
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Legal Business Name | JPE PHARMACY INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 51 SOUTH MAIN STREET
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City | FREEPORT
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State | NY
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Zip | 11520
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Country | US
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Telephone | 516-379-3333
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Fax | 516-379-3387
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Provider Business Mailing Address
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Address Line | 51 SOUTH MAIN STREET
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City | FREEPORT
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State | NY
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Zip | 11520
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Country | US
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Telephone | 516-379-3333
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Fax | 516-379-3387
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Authorized Official
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Title or Position | SUPERVSING PHARMACIST
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Name | MR. FRANK J ESPINOSA
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Credential |
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Telephone | 516-379-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 014337
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 014337
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License Number State | NY
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