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General NPI Number Information
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NPI Number | 1669784476
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Entity Type | Organization
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Legal Business Name | ARIZONA PHARMACY LLC
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 13991 W GRAND AVE SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374-3065
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Country | US
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Telephone | 623-451-5451
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Fax | 623-398-7952
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Provider Business Mailing Address
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Address Line | 20118 N 67TH AVE SUITE 300-181
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City | GLENDALE
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State | AZ
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Zip | 85308-4621
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Country | US
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Telephone | 623-451-5451
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Fax | 623-398-7952
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMOUN D JONES SR.
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Credential | MEDICAL DOCTOR
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Telephone | 623-451-5154
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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 | Y005276
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License Number State | AZ
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