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General NPI Number Information
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NPI Number | 1952889255
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Entity Type | Organization
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Legal Business Name | JITNEY PHARMACIES INCORPORATED
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 301 YAZOO ST
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City | LEXINGTON
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State | MS
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Zip | 39095-3644
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Country | US
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Telephone | 662-834-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 334 DEPOT ST
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City | LEXINGTON
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State | MS
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Zip | 39095-3607
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Country | US
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Telephone | 662-746-3253
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Fax | 662-746-2474
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS S KING
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Credential |
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Telephone | 662-571-8861
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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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