Provider Demographics
NPI:1689031452
Name:JEFFEX INC
Entity Type:Organization
Organization Name:JEFFEX INC
Other - Org Name:JEFFERSON APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC & TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LABARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-955-9993
Mailing Address - Street 1:111 S 11TH ST
Mailing Address - Street 2:SUITE 1850
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4824
Mailing Address - Country:US
Mailing Address - Phone:215-955-8845
Mailing Address - Fax:215-955-1711
Practice Address - Street 1:111 S 11TH ST
Practice Address - Street 2:SUITE 1850
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4824
Practice Address - Country:US
Practice Address - Phone:215-955-8845
Practice Address - Fax:215-955-1711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP413308L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158182OtherPK