Provider Demographics
NPI:1598941510
Name:PJF MANAGEMENT INC
Entity Type:Organization
Organization Name:PJF MANAGEMENT INC
Other - Org Name:THE FRIENDLY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-544-1200
Mailing Address - Street 1:3302 BOCA CHICA BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-5193
Mailing Address - Country:US
Mailing Address - Phone:956-544-1200
Mailing Address - Fax:956-544-5005
Practice Address - Street 1:3302 BOCA CHICA BLVD
Practice Address - Street 2:STE 107
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-5193
Practice Address - Country:US
Practice Address - Phone:956-544-1200
Practice Address - Fax:956-544-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX258573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2101108OtherPK
TX145874Medicaid
TX45103294Medicaid
TX45103294Medicaid