Organization Name: | PSJ PHARMACY LLC |
NPI Number: | 1053554980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAJESH PATEL (MANAGER) |
Mailing Address: | 6801 N Us Highway 1 Ste 1 Cocoa |
State: | FL US |
Postal Code: | 329275095 |
Phone Number: | 3216370911 |
Fax Number: | 3216390856 |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |