# CJK PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CJK PHARMACY, LLC
- **Other names:** CR Care Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164064093
- **Legal business name:** CJK PHARMACY, LLC
- **Authorized official:** KIMBERLY VANSCHEPEN (PHARMACIST/OWNER)
- **Authorized official phone:** (319) 200-1188

## Contact information

- **Practice address:** 3100 E AVE NW STE 102, CEDAR RAPIDS, IA 52405-2962
- **Practice address phone:** (319) 200-1188
- **Practice address fax:** (319) 200-1003
- **Mailing address:** 3100 E AVE NW STE 102, CEDAR RAPIDS, IA 52405-2962
- **Mailing address phone:** (319) 200-1188
- **Mailing address fax:** (319) 200-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2019
- **Last updated:** 10/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0713135 | — | IA |