Healthcare Provider Details
I. General information
NPI: 1124842307
Provider Name (Legal Business Name): PBJ PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2024
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5736 CITRUS BLVD STE 103
NEW ORLEANS LA
70123-7601
US
IV. Provider business mailing address
200 E KATELLA AVE STE C
ORANGE CA
92867-4805
US
V. Phone/Fax
- Phone: 504-340-5221
- Fax: 504-340-5228
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
S
GRIFFITH
Title or Position: MANAGING MEMBER
Credential:
Phone: 949-506-1300