Provider Demographics
NPI:1619374360
Name:CJN PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:CJN PHARMACY SERVICES LLC
Other - Org Name:BOWMAN CURVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CONNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-703-9315
Mailing Address - Street 1:2771 E BROAD ST STE 217
Mailing Address - Street 2:PMB 140
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9157
Mailing Address - Country:US
Mailing Address - Phone:817-703-9315
Mailing Address - Fax:682-422-3258
Practice Address - Street 1:400 N BOWMAN RD STE 19
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2733
Practice Address - Country:US
Practice Address - Phone:501-954-7002
Practice Address - Fax:501-954-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR207823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149022OtherPK