Provider Demographics
NPI:1407251465
Name:J'S PHARMACY
Entity Type:Organization
Organization Name:J'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RUKAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JASSAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-483-3923
Mailing Address - Street 1:6416 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6748
Mailing Address - Country:US
Mailing Address - Phone:727-847-2211
Mailing Address - Fax:727-847-2212
Practice Address - Street 1:6416 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6748
Practice Address - Country:US
Practice Address - Phone:727-847-2211
Practice Address - Fax:727-847-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH233273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy