Organization
JEFNA PHARMACEUTICALS
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEVINNEY (OWNER)
(917) 658-6478
Entity
Organization
Contact information
Practice address
5860 OWENS DR STE 130, PLEASANTON, CA 94588-3980
(760) 987-6796
Mailing address
5860 OWENS DR STE 130, PLEASANTON, CA 94588-3980
(925) 209-2299
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518432384
—
CA
Enumeration date
10/09/2018
Last updated
12/17/2019
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