Provider Demographics
NPI:1801579966
Name:C & J DRUG COMPANY, LLC
Entity type:Organization
Organization Name:C & J DRUG COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:W
Authorized Official - Last Name:PUZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:860-689-5948
Mailing Address - Street 1:7892 IDLEWILD RD
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8675
Mailing Address - Country:US
Mailing Address - Phone:704-821-6885
Mailing Address - Fax:704-882-0371
Practice Address - Street 1:7892 IDLEWILD RD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-8675
Practice Address - Country:US
Practice Address - Phone:704-821-6885
Practice Address - Fax:704-882-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy