Provider Demographics
NPI:1477549186
Name:J & A MEDICAL CENTER PHARMACY LLC
Entity Type:Organization
Organization Name:J & A MEDICAL CENTER PHARMACY LLC
Other - Org Name:J & A PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER-PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:G
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-717-3839
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-0160
Mailing Address - Country:US
Mailing Address - Phone:956-765-1123
Mailing Address - Fax:956-765-3178
Practice Address - Street 1:101 1ST ST.
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076
Practice Address - Country:US
Practice Address - Phone:956-765-1123
Practice Address - Fax:956-765-3178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18866333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4505016OtherNABP NUMBER
TX18866OtherPHARMACY PERMIT
TX18866OtherPHARMACY PERMIT
TX18866OtherPHARMACY PERMIT