Organization
B-J PHARMACY INC
Active
Other names
WIMBERLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDERSON (OWNER)
(512) 847-2288
Entity
Organization
Contact information
Practice address
120 JOE WIMBERLEY BLVD, WIMBERLEY, TX 78676-5975
(512) 847-2288
(512) 847-2294
Mailing address
120 JOE WIMBERLEY BLVD, WIMBERLEY, TX 78676-5975
(512) 847-2288
(512) 847-2294
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24107
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145531
—
TX
01
—
2096853
PK
—
Enumeration date
08/31/2006
Last updated
03/07/2017
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