Healthcare Provider Details

I. General information

NPI: 1265441588
Provider Name (Legal Business Name): BJS PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 E ATLANTIC AVE
DELRAY BEACH FL
33483-4534
US

IV. Provider business mailing address

321 E ATLANTIC AVE
DELRAY BEACH FL
33483-4534
US

V. Phone/Fax

Practice location:
  • Phone: 561-276-6034
  • Fax: 561-276-6385
Mailing address:
  • Phone: 561-276-6034
  • Fax: 561-276-6385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH13405
License Number StateFL

VIII. Authorized Official

Name: GREGORY B CHATTERTON
Title or Position: RPH.
Credential:
Phone: 561-276-6034