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Organization

PEE JAY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC LARSON (PRES/OWNER)
(407) 892-7166
Entity
Organization

Contact information

Practice address
2521 13TH ST, SAINT CLOUD, FL 34769-4119
(407) 892-7166
(407) 892-0546
Mailing address
2521 13TH ST, STE A, SAINT CLOUD, FL 34769-4119
(407) 892-7166
(407) 892-0546

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH6842
FL
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019986000
FL
05
019986001
FL
01
2006756
PK
Enumeration date
10/07/2006
Last updated
08/18/2022
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform