Provider Demographics
NPI:1134238363
Name:H & J PHARMACY LLC
Entity type:Organization
Organization Name:H & J PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-765-1036
Mailing Address - Street 1:820 E MCCART ST STE C
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-5634
Mailing Address - Country:US
Mailing Address - Phone:940-482-1972
Mailing Address - Fax:940-482-1974
Practice Address - Street 1:401 W. WALLACE
Practice Address - Street 2:
Practice Address - City:SAN SABA
Practice Address - State:TX
Practice Address - Zip Code:76877
Practice Address - Country:US
Practice Address - Phone:325-372-3033
Practice Address - Fax:325-372-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX316183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX31618OtherTEXAS STATE BOARD OF PHARMACY
TX31618OtherTEXAS STATE BOARD OF PHARMACY
TX03880OtherTEXAS STATE BOARD OF PHAR