Organization
CJK PHARMACY, LLC
Active
Parent organization
CJK PHARMACY, LLC
Other names
CR Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CJK PHARMACY, LLC
Authorized official
KIMBERLY VANSCHEPEN (PHARMACIST/OWNER)
(319) 200-1188
Entity
Organization
Contact information
Practice address
3100 E AVE NW STE 102, CEDAR RAPIDS, IA 52405-2962
(319) 200-1188
(319) 200-1003
Mailing address
3100 E AVE NW STE 102, CEDAR RAPIDS, IA 52405-2962
(319) 200-1188
(319) 200-1003
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713135
—
IA
Enumeration date
10/11/2019
Last updated
10/11/2019
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