Healthcare Provider Details
I. General information
NPI: 1124414214
Provider Name (Legal Business Name): J & RS SCRIPTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2015
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5510 LOMAS BLVD NE
ALBUQUERQUE NM
87110-6545
US
IV. Provider business mailing address
5510 LOMAS BLVD NE
ALBUQUERQUE NM
87110-6545
US
V. Phone/Fax
- Phone: 505-265-6868
- Fax: 505-256-9196
- Phone: 505-265-6868
- Fax: 505-256-9196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JACQUELINE
GUERRERO
Title or Position: PHARMACIST/ OWNER
Credential: PHARM D
Phone: 505-265-6868