Healthcare Provider Details

I. General information

NPI: 1134238363
Provider Name (Legal Business Name): H & J PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W. WALLACE
SAN SABA TX
76877
US

IV. Provider business mailing address

820 E MCCART ST STE C
KRUM TX
76249-5634
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-3033
  • Fax: 325-372-5961
Mailing address:
  • Phone: 940-482-1972
  • Fax: 940-482-1974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number31618
License Number StateTX

VIII. Authorized Official

Name: BRUCE LANDERS
Title or Position: OWNER/MANAGER
Credential:
Phone: 940-765-1036