Provider Demographics
NPI:1205867132
Name:J & B LLC
Entity Type:Organization
Organization Name:J & B LLC
Other - Org Name:HEALTHCARE WAREHOUSE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-651-0320
Mailing Address - Street 1:1406 LAMY LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3732
Mailing Address - Country:US
Mailing Address - Phone:318-651-0320
Mailing Address - Fax:318-651-0323
Practice Address - Street 1:1406 LAMY LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3732
Practice Address - Country:US
Practice Address - Phone:318-651-0320
Practice Address - Fax:318-651-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2200810Medicaid
LAPHY.008323-IROtherLOUISIANA BOARD OF PHARMACY