Organization
JRX LLC
Active
Other names
LOCKPORT APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL M CARUSO RPH (OWNER)
(716) 553-3584
Entity
Organization
Contact information
Practice address
6606 LINCOLN AVE, LOCKPORT, NY 14094-6109
(716) 438-3990
(716) 438-3993
Mailing address
6606 LINCOLN AVE, LOCKPORT, NY 14094-6109
(716) 438-3990
(716) 438-3993
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
024160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903204
—
NY
01
—
3302318
NCPDP
—
Enumeration date
07/30/2006
Last updated
03/07/2023
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