Organization
L&J PHARMACY INC
Active
Other names
ROGERSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COKER PHARMD (OWNER)
(417) 459-1436
Entity
Organization
Contact information
Practice address
317 S MAIN ST, ROGERSVILLE, MO 65742-9361
(417) 753-7774
(417) 753-7786
Mailing address
317 S MAIN ST, ROGERSVILLE, MO 65742-9361
(417) 753-7774
(417) 753-7786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2007000107
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049534
PK
—
05
—
606278901
—
MO
Enumeration date
01/08/2007
Last updated
05/20/2023
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