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General NPI Number Information
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NPI Number | 1740177104
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Entity Type | Individual
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Provider Name | JORDAN RAYE MYERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 317 E 13TH ST
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City | MURFREESBORO
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State | AR
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Zip | 71958-9541
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Country | US
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Telephone | 870-285-2111
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Fax | 870-285-3357
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | MURFREESBORO
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State | AR
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Zip | 71958-0152
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Country | US
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Telephone | 870-200-1125
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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 | PD17402
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License Number State | AR
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