Provider Demographics
NPI:1952866477
Name:J A C PHARMACY LLC
Entity Type:Organization
Organization Name:J A C PHARMACY LLC
Other - Org Name:CIOLINO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:504-602-9744
Mailing Address - Street 1:7335 JEFFERSON HWY STE 300A
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-4515
Mailing Address - Country:US
Mailing Address - Phone:504-602-9744
Mailing Address - Fax:504-602-9707
Practice Address - Street 1:7335 JEFFERSON HWY STE 300A
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-4515
Practice Address - Country:US
Practice Address - Phone:504-390-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy