# J & R PHARMACY P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JC Neighborhood Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306224662
- **Authorized official:** JACQUELINE IBRAHIM RPH (CEO/PIC)
- **Authorized official phone:** (951) 531-8041

## Contact information

- **Practice address:** 770 MAGNOLIA AVE STE 1G, CORONA, CA 92879-3121
- **Practice address phone:** (951) 531-8041
- **Practice address fax:** (951) 531-8043
- **Mailing address:** 770 MAGNOLIA AVE, STE 1-G, CORONA, CA 92879-3120
- **Mailing address phone:** (951) 531-8041
- **Mailing address fax:** (951) 531-8043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY55570 | CA | — |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 05/25/2023