Provider Demographics
NPI:1700962826
Name:BAJON'S PHARMACY, INC.
Entity Type:Organization
Organization Name:BAJON'S PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLTON
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BAJON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:225-545-2226
Mailing Address - Street 1:32420 BOWIE ST.
Mailing Address - Street 2:P.O. BOX 8
Mailing Address - City:WHITE CASTLE
Mailing Address - State:LA
Mailing Address - Zip Code:70788-0008
Mailing Address - Country:US
Mailing Address - Phone:225-545-2226
Mailing Address - Fax:225-545-2220
Practice Address - Street 1:32420 BOWIE ST.
Practice Address - Street 2:
Practice Address - City:WHITE CASTLE
Practice Address - State:LA
Practice Address - Zip Code:70788-0008
Practice Address - Country:US
Practice Address - Phone:225-545-2226
Practice Address - Fax:225-545-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1616-IR333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy