Healthcare Provider Details

I. General information

NPI: 1710823232
Provider Name (Legal Business Name): J & J RX NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 MOSS ST STE A
LAFAYETTE LA
70501-1274
US

IV. Provider business mailing address

2930 MOSS ST STE A
LAFAYETTE LA
70501-1274
US

V. Phone/Fax

Practice location:
  • Phone: 337-232-2666
  • Fax: 337-233-5978
Mailing address:
  • Phone: 337-232-2666
  • Fax: 337-233-5978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TALA BUI
Title or Position: OWNER
Credential: PHARMD
Phone: 337-232-2666