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NPI Code Detail

MEDICARE: SJ'S PHARMACY

MEDICARE: SJ'S PHARMACY
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
13336C0004XCompounding Pharmacy

General Provider Information

NPI Number : 1457215949
Entity Type Code : Organization
Provider Name (Legal Business Name) : SJ'S PHARMACY
Provider Business Mailing Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-256-4850
Fax Number :
Provider Business Practice Location Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-256-4850
Fax Number :
Authorized Official
Title or Position : SENIOR ACCOUNTANT
Name : MS. TRASHICA ROBINSON
Credential :
Telephone Number : 225-383-9139
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “SJ'S PHARMACY ” Practice Location

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