Healthcare Provider Details

I. General information

NPI: 1457283533
Provider Name (Legal Business Name): TYJEAN LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10807 NW 9TH CT
PLANTATION FL
33324-7326
US

IV. Provider business mailing address

10807 NW 9TH CT
PLANTATION FL
33324-7326
US

V. Phone/Fax

Practice location:
  • Phone: 305-709-1332
  • Fax:
Mailing address:
  • Phone: 305-709-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WESLEY PETITFRERE
Title or Position: MANAGER
Credential:
Phone: 305-709-1332