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Organization
ST JOSEPH BEREA
Active
Organization
ST JOSEPH BEREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE JONES RPH (PIC)
(859) 986-6541
Entity
Organization
Contact information
Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6541
(859) 986-2697
Mailing address
305 ESTILL ST, BEREA, KY 40403-1742
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PO6847
KY
3336I0012X
Institutional Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1813333
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54023502
—
KY
Enumeration date
06/19/2006
Last updated
09/11/2025
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