Organization
J AND J PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L GONZALEZ (ADMIN MANAGER)
(305) 828-0110
Entity
Organization
Contact information
Practice address
7250 W 24TH AVE, SUITE 10, HIALEAH, FL 33016-6575
(305) 828-0110
(305) 828-8990
Mailing address
7250 W 24TH AVE, SUITE 10, HIALEAH, FL 33016-6575
(305) 828-0110
(305) 828-8990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019202
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
PH 21851
PHARMACY LICENSE
FL
Enumeration date
08/18/2006
Last updated
04/08/2008
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