Organization
JTJ MEDICAL SUPPLY, INC
Active
Other names
Mail-Meds Clinical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SHIERS (SECRETARY)
(239) 317-3033
Entity
Organization
Contact information
Practice address
1301 W COLONIAL DR STE 102, ORLANDO, FL 32804-7133
(239) 939-9226
(855) 523-0910
Mailing address
PO BOX 62134, FORT MYERS, FL 33906-2134
(239) 939-9226
(855) 523-0910
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017360600
—
FL
01
—
2156021
PK
—
Enumeration date
12/16/2015
Last updated
07/17/2024
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