Provider Demographics
NPI:1164142220
Name:JSK RX LLC
Entity Type:Organization
Organization Name:JSK RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKSHAYKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:770-715-0472
Mailing Address - Street 1:3273 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-1863
Mailing Address - Country:US
Mailing Address - Phone:770-274-6561
Mailing Address - Fax:770-728-4716
Practice Address - Street 1:3273 SALEM RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-1863
Practice Address - Country:US
Practice Address - Phone:770-274-6561
Practice Address - Fax:770-728-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy