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Organization

BJRX PHARMACY LTC INC

Active
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Organization

BJRX PHARMACY LTC INC

Active
Other names
BJRX PHARMACY LTC, INC.
Organization subpart
No

Provider details

NPI number
Authorized official
PRATAP ANNE (DIRECTOR)
(209) 474-3888
Entity
Organization

Contact information

Practice address
1801 E MARCH LN # 270, STOCKTON, CA 95210-6629
(209) 451-3171
(209) 451-3635
Mailing address
1801 E MARCH LN, SUITE:B270, STOCKTON, CA 95210-6629
(209) 474-3888
(209) 474-3328

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY 53617
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154419
PK
—
Enumeration date
10/01/2015
Last updated
03/30/2020
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