Provider Demographics
NPI:1346568540
Name:J AND J PHARMACY LTD
Entity Type:Organization
Organization Name:J AND J PHARMACY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/R.PH.
Authorized Official - Prefix:
Authorized Official - First Name:JAGDISH
Authorized Official - Middle Name:P
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH CREGISTERED PH
Authorized Official - Phone:773-778-2356
Mailing Address - Street 1:1608, W. 69TH ST.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60636-3316
Mailing Address - Country:US
Mailing Address - Phone:773-778-2356
Mailing Address - Fax:
Practice Address - Street 1:1608, W. 69TH ST.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-3316
Practice Address - Country:US
Practice Address - Phone:773-778-2356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J AND J PHARMACY LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051033681183500000X
333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No333600000XSuppliersPharmacyGroup - Multi-Specialty