Healthcare Provider Details
I. General information
NPI: 1316346679
Provider Name (Legal Business Name): JMS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2014
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 MARTIN LUTHER KING JR DR
JERSEY CITY NJ
07305-3025
US
IV. Provider business mailing address
95 MARTIN LUTHER KING JR DR
JERSEY CITY NJ
07305-3025
US
V. Phone/Fax
- Phone: 732-598-3136
- Fax: 732-598-3136
- Phone: 732-598-3136
- Fax: 732-598-3136
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name:
JASPAL
SINGH
Title or Position: PRESIDENT
Credential:
Phone: 732-598-3136