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General NPI Number Information
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NPI Number | 1619374360
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Entity Type | Organization
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Legal Business Name | CJN PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 400 N BOWMAN RD STE 19
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2733
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Country | US
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Telephone | 501-954-7002
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Fax | 501-954-7006
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Provider Business Mailing Address
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Address Line | 2771 E BROAD ST STE 217 PMB 140
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City | MANSFIELD
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State | TX
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Zip | 76063-9157
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Country | US
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Telephone | 817-703-9315
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Fax | 682-422-3258
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | CONNEKA NEAL
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Credential |
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Telephone | 817-703-9315
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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 | AR20782
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License Number State | AR
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