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General NPI Number Information
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NPI Number | 1699389767
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Entity Type | Individual
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Provider Name | DARRYL JONES PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 325 NEW BYHALIA RD
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City | COLLIERVILLE
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State | TN
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Zip | 38017-3705
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Country | US
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Telephone | 504-723-2707
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Fax |
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Provider Business Mailing Address
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Address Line | 2022 NORTHPORT RD APT 1
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City | CORDOVA
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State | TN
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Zip | 38016-3874
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Country | US
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Telephone | 504-723-2707
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 43727
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License Number State | TN
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