Provider Demographics
NPI:1528230646
Name:JGJW, LLC D/B/A ALL PEOPLES PHARMACY
Entity Type:Organization
Organization Name:JGJW, LLC D/B/A ALL PEOPLES PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:904-704-2424
Mailing Address - Street 1:8295 ROCKY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6873
Mailing Address - Country:US
Mailing Address - Phone:904-704-2424
Mailing Address - Fax:904-908-4552
Practice Address - Street 1:4750 SOUTEL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-1829
Practice Address - Country:US
Practice Address - Phone:904-766-3145
Practice Address - Fax:904-766-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH235963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy