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General NPI Number Information
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NPI Number | 1891772463
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Entity Type | Organization
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Legal Business Name | JONES LTC PHARMACY, INC.
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 306A WEAVER AVE
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City | EMPORIA
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State | VA
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Zip | 23847-1232
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Country | US
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Telephone | 434-348-4987
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Fax | 434-348-4558
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Provider Business Mailing Address
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Address Line | 321 OAK HILL DR
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City | EMPORIA
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State | VA
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Zip | 23847-2420
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Country | US
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Telephone | 434-348-4987
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Fax | 434-348-4558
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN PEARMAN JONES
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Credential | RPH
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Telephone | 434-634-2639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 0201003782
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License Number State | VA
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