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NPI Code Detail

MEDICARE: R&J DRUG COMPANY 2

MEDICARE: R&J DRUG COMPANY 2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier
33336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1134656234
Entity Type Code : Organization
Provider Name (Legal Business Name) : R&J DRUG COMPANY 2
Provider Business Mailing Address
First Line : 1619 W MARKET ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6018
Country : US
Telephone Number : 423-926-9137
Fax Number :
Provider Business Practice Location Address
First Line : 1619 W MARKET ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6018
Country : US
Telephone Number : 423-926-9137
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JULIE COOPER
Credential :
Telephone Number : 423-926-9137
Provider Enumeration Date : 05/19/2017
Last Update Date : 07/21/2022

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Directions to “R&J DRUG COMPANY 2 ” Practice Location

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