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General NPI Number Information
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NPI Number | 1720714827
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Entity Type | Organization
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Legal Business Name | FORT VALLEY DRUG COMPANY LLC. LTC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 115 COMMERCIAL HTS
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City | FORT VALLEY
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State | GA
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Zip | 31030-3361
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Country | US
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Telephone | 478-822-0555
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Fax | 478-822-0558
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Provider Business Mailing Address
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Address Line | 115 COMMERCIAL HTS
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City | FORT VALLEY
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State | GA
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Zip | 31030-3361
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Country | US
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Telephone | 478-822-0555
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Fax | 478-822-0558
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. JONATHAN O'CONNOR
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Credential | PHARM.D
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Telephone | 478-822-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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