Provider Demographics
NPI:1336694926
Name:U & J HEALTHCARE LLC
Entity Type:Organization
Organization Name:U & J HEALTHCARE LLC
Other - Org Name:MORTAR & PESTLE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER/OWNER/AO
Authorized Official - Prefix:
Authorized Official - First Name:UJWAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-539-1969
Mailing Address - Street 1:1896 FOX GRAPE LOOP
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-3306
Mailing Address - Country:US
Mailing Address - Phone:772-539-1969
Mailing Address - Fax:772-539-1969
Practice Address - Street 1:6308 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-6628
Practice Address - Country:US
Practice Address - Phone:772-539-1969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH303123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2163728OtherPK