NPI Code Details Logo

NPI 1144565847

NPI 1144565847 : JTECS INC : BLOOMSBURG, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144565847
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JTECS INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/06/2012
-----------------------------------------------------
    Last Update Date     |    04/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1000 MARKET ST STE 9 
-----------------------------------------------------
    City                 |    BLOOMSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17815-2601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-784-9582
-----------------------------------------------------
    Fax                  |    570-389-1622
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1000 MARKET ST STE 9 
-----------------------------------------------------
    City                 |    BLOOMSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    17815-2601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-784-9582
-----------------------------------------------------
    Fax                  |    570-389-1622
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     JENNIFER LYNN SELTZER 
-----------------------------------------------------
    Credential           |    PHARM.D.
-----------------------------------------------------
    Telephone            |    570-784-9582
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    PP413586L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336L0003X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    3336S0011X
-----------------------------------------------------
    Taxonomy Name        |    Specialty Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.