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General NPI Number Information
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NPI Number | 1801579966
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Entity Type | Organization
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Legal Business Name | C & J DRUG COMPANY, LLC
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 7892 IDLEWILD RD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-8675
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Country | US
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Telephone | 704-821-6885
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Fax | 704-882-0371
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Provider Business Mailing Address
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Address Line | 7892 IDLEWILD RD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-8675
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Country | US
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Telephone | 704-821-6885
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Fax | 704-882-0371
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CODY W PUZINSKI
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Credential | PHARMD
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Telephone | 860-689-5948
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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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