Organization
JTECS INC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN SELTZER PHARM.D. (PRESIDENT)
(570) 784-9582
Entity
Organization
Contact information
Practice address
1000 MARKET ST STE 9, BLOOMSBURG, PA 17815-2601
(570) 784-9582
(570) 389-1622
Mailing address
1000 MARKET ST STE 9, BLOOMSBURG, PA 17815-2601
(570) 784-9582
(570) 389-1622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PP413586L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018971500003
—
PA
01
—
2138840
PK
—
Enumeration date
12/06/2012
Last updated
04/21/2022
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