Provider Demographics
NPI:1598399040
Name:DJS PHARMACY LLC
Entity Type:Organization
Organization Name:DJS PHARMACY LLC
Other - Org Name:DJ'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:919-799-0351
Mailing Address - Street 1:4222 NW CARY PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8411
Mailing Address - Country:US
Mailing Address - Phone:919-377-0342
Mailing Address - Fax:919-377-0349
Practice Address - Street 1:4222 NW CARY PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8411
Practice Address - Country:US
Practice Address - Phone:919-377-0342
Practice Address - Fax:919-377-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy