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General NPI Number Information
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NPI Number | 1881734457
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Entity Type | Organization
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Legal Business Name | JJM ENTERPRISES INC. , DBA GEM PHARMACY
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 191 E ORCHARD RD STE 100 STE 100
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City | LITTLETON
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State | CO
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Zip | 80121-8056
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Country | US
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Telephone | 303-795-3154
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Fax | 303-795-0406
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Provider Business Mailing Address
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Address Line | 191 E ORCHARD RD STE 100 STE 100
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City | LITTLETON
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State | CO
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Zip | 80121-8056
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Country | US
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Telephone | 303-795-3154
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Fax | 303-795-0406
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Authorized Official
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Title or Position | OWNER/PIC
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Name | KENNETH OWEN
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Credential | RPH
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Telephone | 303-795-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 370000003
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License Number State | CO
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