Provider Demographics
NPI:1558664375
Name:S & J SCRIPTURE STREET PHARMACY INCORPORATED
Entity Type:Organization
Organization Name:S & J SCRIPTURE STREET PHARMACY INCORPORATED
Other - Org Name:S & J SCRIPTURE STREET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:940-484-0100
Mailing Address - Street 1:1612 SCRIPTURE ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3809
Mailing Address - Country:US
Mailing Address - Phone:940-484-0100
Mailing Address - Fax:940-484-2600
Practice Address - Street 1:1612 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3809
Practice Address - Country:US
Practice Address - Phone:940-484-0100
Practice Address - Fax:940-484-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX272683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2127940OtherPK