Provider Demographics
NPI:1194852863
Name:J & J PHARMACY
Entity Type:Organization
Organization Name:J & J PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-684-6337
Mailing Address - Street 1:PO BOX 2501
Mailing Address - Street 2:1811 HWY 87
Mailing Address - City:CRYSTAL BEACH
Mailing Address - State:TX
Mailing Address - Zip Code:77650-2501
Mailing Address - Country:US
Mailing Address - Phone:409-684-6337
Mailing Address - Fax:409-684-3669
Practice Address - Street 1:1811 HWY 87
Practice Address - Street 2:
Practice Address - City:CRYSTAL BEACH
Practice Address - State:TX
Practice Address - Zip Code:77650-2501
Practice Address - Country:US
Practice Address - Phone:409-684-6337
Practice Address - Fax:409-684-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22873183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty