Organization
JPPD INC
Active
Other names
BOCA RATON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS KALKSTEIN (PRESIDENT)
(561) 716-7615
Entity
Organization
Contact information
Practice address
625 NE SPANISH RIVER BLVD, SUITE#106, BOCA RATON, FL 33431-6100
(561) 544-8997
(561) 544-8131
Mailing address
625 NE SPANISH RIVER BLVD, SUITE#106, BOCA RATON, FL 33431-6100
(561) 544-8997
(561) 544-8131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24266
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048897
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2009
Last updated
06/24/2013
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