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General NPI Number Information
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NPI Number | 1740373349
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Entity Type | Organization
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Legal Business Name | FLINTSTONE PHARMACY LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3255 CHATTANOOGA VALLEY RD
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City | FLINTSTONE
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State | GA
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Zip | 30725-2387
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Country | US
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Telephone | 706-820-9971
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Fax | 706-820-9985
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | FLINTSTONE
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State | GA
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Zip | 30725-0307
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Country | US
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Telephone | 706-935-3131
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Fax | 706-937-9903
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JINNA LEANNE GASS I
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Credential | PHARMD
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Telephone | 423-595-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE008148
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License Number State | GA
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