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General NPI Number Information
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NPI Number | 1780777110
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Entity Type | Organization
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Legal Business Name | JONESTOWN PHARMACY, INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 300 JONESTOWN RD STE 5
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4621
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Country | US
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Telephone | 336-774-1445
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Fax | 336-774-1986
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Provider Business Mailing Address
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Address Line | 300 JONESTOWN RD STE 5
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4621
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Country | US
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Telephone | 336-774-1445
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Fax | 336-774-1986
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE CLINE
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Credential |
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Telephone | 919-949-9801
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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 | 08041
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License Number State | NC
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Taxonomy #3
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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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