Organization
JTJ MEDICAL SUPPLY, INC.
Active
Other names
MAIL MEDS CLINICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SHIERS (SECRETARY)
(239) 317-3033
Entity
Organization
Contact information
Practice address
2692 OAK RIDGE CT, FORT MYERS, FL 33901-9351
(239) 939-9226
(239) 939-9256
Mailing address
PO BOX 62134, FORT MYERS, FL 33906-2134
(239) 939-9226
(239) 939-9256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH19367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101331100
—
FL
01
—
1099919
NCPDP
FL
Enumeration date
07/08/2005
Last updated
07/17/2024
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