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General NPI Number Information
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NPI Number | 1942385372
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Entity Type | Organization
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Legal Business Name | PEARSON DRUG AND JEWELRY CO.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 420 VETERANS AVE
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City | SISSETON
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State | SD
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Zip | 57262-1402
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Country | US
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Telephone | 605-698-3622
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Fax | 605-698-3622
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Provider Business Mailing Address
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Address Line | 420 VETERANS AVE
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City | SISSETON
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State | SD
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Zip | 57262-1402
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Country | US
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Telephone | 605-698-3622
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Fax | 605-698-3622
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Authorized Official
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Title or Position | PRESIDENT/CHIEF PHARMACIST
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Name | MR. TIMOTHY JULIAN PEARSON
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Credential | PD
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Telephone | 605-698-3622
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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 | 100-0963
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License Number State | SD
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