Healthcare Provider Details

I. General information

NPI: 1962398545
Provider Name (Legal Business Name): 3JB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 BETTS AVE
NORTHERN CAMBRIA PA
15714-2437
US

IV. Provider business mailing address

2423 BETTS AVE
NORTHERN CAMBRIA PA
15714-2437
US

V. Phone/Fax

Practice location:
  • Phone: 724-316-9235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN PASTOREK
Title or Position: MEMBER OF LLC
Credential:
Phone: 724-316-9235