Organization
PEE JAY INC
Active
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
Update your record
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