Provider Demographics
NPI:1093288003
Name:LJ PHARMACY RELIEF, INC
Entity Type:Organization
Organization Name:LJ PHARMACY RELIEF, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:BARRACHINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-667-0971
Mailing Address - Street 1:9806 CLEAR DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-1068
Mailing Address - Country:US
Mailing Address - Phone:469-667-0971
Mailing Address - Fax:956-854-4652
Practice Address - Street 1:2004 E EXPRESSWAY 83 STE 2
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-5057
Practice Address - Country:US
Practice Address - Phone:469-667-0971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy