Organization
JT BAD INC
Active
Organization
JT BAD INC
Active
Other names
LEHIGHTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ODONNELL (OWNER PHCST)
(610) 377-9070
Entity
Organization
Contact information
Practice address
281 N 12TH ST, STE C, LEHIGHTON, PA 18235-1101
(610) 377-9070
(610) 377-9072
Mailing address
281 N 12TH ST, STE C, LEHIGHTON, PA 18235-1101
(610) 377-9070
(610) 377-9072
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001929423001
—
PA
01
—
3981227
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/08/2006
Last updated
04/14/2011
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