Provider Demographics
NPI:1083766034
Name:JZRX INC
Entity Type:Organization
Organization Name:JZRX INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-981-3263
Mailing Address - Street 1:1020 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3337
Mailing Address - Country:US
Mailing Address - Phone:724-981-3263
Mailing Address - Fax:724-342-7567
Practice Address - Street 1:1020 E STATE ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3337
Practice Address - Country:US
Practice Address - Phone:724-981-3263
Practice Address - Fax:724-342-7567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413580L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014353700001Medicaid
PA3967607OtherNCPDP
PA3967607OtherNCPDP
PA3967607OtherNCPDP
PA124216Medicare PIN