Organization
PBJ MEDICAL RX LLC
Active
Other names
PBJ Medical Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE JONES SR. PHARMACIST (OPERATION MANAGER)
(800) 485-7962
Entity
Organization
Contact information
Practice address
7380 W SAND LAKE RD, ORLANDO, FL 32819-5248
(800) 485-7962
Mailing address
7380 W SAND LAKE RD STE 500, ORLANDO, FL 32819-5257
(800) 485-7962
(888) 492-2004
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
02/13/2025
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