Organization
JAY CARE PHARMACY LLC
Active
Other names
Jay Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHEEL JANGA (OWNER/PRESIDENT/AO)
(405) 503-9927
Entity
Organization
Contact information
Practice address
1212 W 23RD ST, PANAMA CITY, FL 32405-3609
(850) 640-4810
(850) 640-4329
Mailing address
1212 W 23RD ST, PANAMA CITY, FL 32405-3609
(850) 640-4810
(850) 640-4329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175151
PK
—
Enumeration date
12/11/2017
Last updated
07/19/2018
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