Organization
J & L COMPOUNDING INC.
Active
Other names
J and L Home medical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WELLS DME SPECIALIST (OWNER)
(859) 684-8409
Entity
Organization
Contact information
Practice address
705 S BROADWAY ST, GEORGETOWN, KY 40324-1164
(502) 863-6774
(502) 863-3203
Mailing address
705 S BROADWAY ST, GEORGETOWN, KY 40324-1164
(502) 863-6774
(502) 863-3203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45902202
—
KY
05
—
5403375800
—
KY
05
—
7100192730
—
KY
05
—
90131053
—
KY
Enumeration date
10/05/2006
Last updated
02/13/2024
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