Organization
S & J MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD LINK (PRESIDENT)
(940) 458-5539
Entity
Organization
Contact information
Practice address
1101 W EAGLE DR, SUITE C, DECATUR, TX 76234-3721
(940) 627-5400
(940) 627-1598
Mailing address
1101 W EAGLE DR, SUITE C, DECATUR, TX 76234-3721
(940) 627-5400
(940) 627-1598
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25342
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4543561
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/09/2007
Last updated
09/19/2011
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