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General NPI Number Information
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NPI Number | 1730071671
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Entity Type | Organization
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Legal Business Name | JET'S PHARMACY II, LLC.
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 5408 GOLDEN ISLES PARKWAY UNIT 4
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City | BRUNSWICK
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State | GA
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Zip | 31525
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Country | US
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Telephone | 912-694-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 242 ALABAMA ST
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City | SAINT SIMONS ISLAND
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State | GA
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Zip | 31522-2621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TREY STEPHENS
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Credential |
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Telephone | 912-270-1167
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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 |
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License Number State |
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