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General NPI Number Information
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NPI Number | 1922116615
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Entity Type | Organization
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Legal Business Name | J & A PHARMACY INC CENTRE
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 1490 CHESNUT BYPASS
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City | CENTRE
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State | AL
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Zip | 35960
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Country | US
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Telephone | 256-927-8539
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Fax | 256-927-8588
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Provider Business Mailing Address
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Address Line | 102 JD SMITH DRIVE ALACO WAREHOUSE - BUSINESS OFFICE
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City | ATTALLA
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State | AL
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Zip | 35954-3350
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Country | US
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Telephone | 256-538-5697
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Fax | 256-538-0239
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFF S GRAVES
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Credential | RPH
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Telephone | 256-927-8539
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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 | 101053
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License Number State | AL
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