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General NPI Number Information
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NPI Number | 1871777094
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Entity Type | Organization
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Legal Business Name | JANA PHARMACY INC.
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 413 EAST WYOMING AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-324-7040
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Fax | 215-324-7045
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Provider Business Mailing Address
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Address Line | 413 EAST WYOMING AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-324-7040
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Fax | 215-324-7045
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Authorized Official
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Title or Position | OWNER & RPH
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Name | MR. SAIFUL ISLAM
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Credential | RPH
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Telephone | 215-324-7040
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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 | PP481768
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License Number State | PA
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