Organization
LJB INC
Active
Other names
Jeffs Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
KENT F. WILLIAMS PHARMD (PHARMACIST/OWNER)
(270) 765-3335
Entity
Organization
Contact information
Practice address
2415 RING RD, ELIZABETHTOWN, KY 42701
(270) 765-2157
(270) 765-2357
Mailing address
2415 RING RD, ELIZABETHTOWN, KY 42701-7941
(270) 765-2157
(270) 765-2357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801934
NCPDP
—
05
—
54002373
—
KY
01
—
9013047700
KYDME
KY
01
—
P08023
PHARMACY LICENSE
KY
Enumeration date
10/16/2006
Last updated
10/25/2022
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