# BJRX PHARMACY LTC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BJRX PHARMACY LTC, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073983144
- **Authorized official:** PRATAP ANNE (DIRECTOR)
- **Authorized official phone:** (209) 474-3888

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY 53617 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 03/30/2020
