Organization
JS PHARMACY LLC
Active
Other names
JS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUKAM JASSAL (MANAGING MEMBER)
(727) 483-3923
Entity
Organization
Contact information
Practice address
6416 RIDGE RD, PORT RICHEY, FL 34668-6748
(727) 847-2211
(727) 847-2212
Mailing address
6416 RIDGE RD, PORT RICHEY, FL 34668
(727) 847-2211
(727) 847-2212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000336900
—
FL
01
—
2011836
PK
—
Enumeration date
05/21/2008
Last updated
08/19/2014
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