Provider Demographics
NPI:1558827808
Name:JJ BUG PHARMACY LLC
Entity Type:Organization
Organization Name:JJ BUG PHARMACY LLC
Other - Org Name:HERSEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-724-8147
Mailing Address - Street 1:4711 HOPE VALLEY RD STE 5F
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5651
Mailing Address - Country:US
Mailing Address - Phone:919-346-4008
Mailing Address - Fax:919-346-4009
Practice Address - Street 1:4711 HOPE VALLEY RD STE 5F
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5651
Practice Address - Country:US
Practice Address - Phone:919-346-4008
Practice Address - Fax:919-346-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy