Organization
CJ MEDICAL SUPPLIES INC
Active
Other names
CJ Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA E JIMENEZ (PRESIDENT)
(786) 252-1755
Entity
Organization
Contact information
Practice address
13350 NW 42 AVE, SUITE 7, OPA LOCKA, FL 33054
(305) 688-1335
(305) 688-1779
Mailing address
13350 NW 42 AVE, SUITE 7, OPA LOCKA, FL 33054
(305) 688-1335
(305) 688-1779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312366
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3203829
FL
3336C0003X
Community/Retail Pharmacy
PH21963
FL
Other
Enumeration date
07/09/2006
Last updated
09/02/2009
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