Provider Demographics
NPI:1235601147
Name:J&JL ENTERPRISES, LLC D/B/A J&J LOUIS ENTERPRISES, LLC (JOHN'S PHARMAC
Entity Type:Organization
Organization Name:J&JL ENTERPRISES, LLC D/B/A J&J LOUIS ENTERPRISES, LLC (JOHN'S PHARMAC
Other - Org Name:BENZER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSNER
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-221-7233
Mailing Address - Street 1:10469 CAROLINA WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8809
Mailing Address - Country:US
Mailing Address - Phone:954-376-1478
Mailing Address - Fax:
Practice Address - Street 1:9048 BONITA BEACH RD SE
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4237
Practice Address - Country:US
Practice Address - Phone:239-221-7233
Practice Address - Fax:855-765-7704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy