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NPI 1891851366

NPI 1891851366 : TOM JONES DISCOUNT DRUG CENTER INC : GARNER, NC

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General NPI Number Information
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    NPI Number           |    1891851366
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOM JONES DISCOUNT DRUG CENTER INC 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    01/13/2011
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Provider Practice Location Address
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    Address Line         |    101 TIMBER POINTE LN 
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    City                 |    GARNER
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    State                |    NC
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    Zip                  |    27529-2511
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    Country              |    US
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    Telephone            |    919-772-4737
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    Fax                  |    919-772-0375
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Provider Business Mailing Address
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    Address Line         |    101 TIMBER POINTE LN 
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    City                 |    GARNER
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    State                |    NC
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    Zip                  |    27529-2511
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    Country              |    US
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    Telephone            |    919-772-4737
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    Fax                  |    919-772-0375
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. THOMAS HENRY JONES 
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    Credential           |    R. PH.
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    Telephone            |    919-772-4737
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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       |    3117
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    License Number State |    NC
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