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General NPI Number Information
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NPI Number | 1912741448
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Entity Type | Organization
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Legal Business Name | K & J DRUG LLC
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 117 N MAIN ST UNIT A
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City | BROADWAY
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State | NC
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Zip | 27505-9500
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Country | US
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Telephone | 919-276-5500
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Fax | 888-905-5341
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Provider Business Mailing Address
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Address Line | PO BOX 592
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City | BROADWAY
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State | NC
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Zip | 27505-0592
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACY MANAGER
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Name | KAYCE PARKER
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Credential | PHARMD
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Telephone | 910-261-6509
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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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