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General NPI Number Information
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NPI Number | 1558427435
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Entity Type | Organization
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Legal Business Name | JANOS PHARMACY ENTERPRISE INC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 704 MAIN ST
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City | FREELAND
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State | PA
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Zip | 18224-1915
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Country | US
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Telephone | 570-636-1400
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Fax | 570-636-0508
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Provider Business Mailing Address
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Address Line | 704 MAIN ST
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City | FREELAND
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State | PA
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Zip | 18224-1915
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Country | US
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Telephone | 570-636-1400
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Fax | 570-636-0508
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANO JAMES
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Credential |
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Telephone | 570-636-1400
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP412792L
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License Number State | PA
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