Organization
CBJ PHARMACY INC
Active
Organization
CBJ PHARMACY INC
Active
Other names
St Francis Homecare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEVIN (PRESIDENT)
(610) 639-0130
Entity
Organization
Contact information
Practice address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 765-1330
(901) 765-1344
Mailing address
210 DAISY LN, WYNNEWOOD, PA 19096-1654
(610) 639-0130
(610) 639-0130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
000000029
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4413061
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/11/2006
Last updated
11/15/2012
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