Provider Demographics
NPI:1679271233
Name:K&J PHARMACY LLC
Entity Type:Organization
Organization Name:K&J PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JISUP
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:857-203-1678
Mailing Address - Street 1:455 LIVINGSTON ST STE 4
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1360
Mailing Address - Country:US
Mailing Address - Phone:201-272-6224
Mailing Address - Fax:201-272-6225
Practice Address - Street 1:455 LIVINGSTON ST STE 4
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-1360
Practice Address - Country:US
Practice Address - Phone:201-272-6224
Practice Address - Fax:201-272-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RS00793600OtherNJ BOARD OF PHARMACY