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NPI 1609164847

NPI 1609164847 : J&S DRUGS, INC. : CENTREVILLE, AL

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General NPI Number Information
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    NPI Number           |    1609164847
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    Entity Type          |    Organization 
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    Legal Business Name  |    J&S DRUGS, INC. 
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Dates
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    Enumeration Date     |    07/20/2011
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    Last Update Date     |    07/20/2011
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Provider Practice Location Address
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    Address Line         |    1130 WALNUT ST 
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    City                 |    CENTREVILLE
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    State                |    AL
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    Zip                  |    35042-2811
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    Country              |    US
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    Telephone            |    205-926-4821
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    Fax                  |    205-926-7662
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Provider Business Mailing Address
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    Address Line         |    1130 WALNUT ST 
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    City                 |    CENTREVILLE
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    State                |    AL
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    Zip                  |    35042-2811
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    Country              |    US
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    Telephone            |    205-926-4821
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    Fax                  |    205-926-7662
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Authorized Official
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    Title or Position    |    PHARMACIST
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    Name                 |    MRS. MELODY DAWN RANDOLPH 
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    Credential           |    PHARMD
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    Telephone            |    205-926-4821
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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       |    12924
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    14834
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    License Number State |    AL
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