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General NPI Number Information
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NPI Number | 1487891438
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Entity Type | Organization
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Legal Business Name | BJRX PHARMACY INC
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1801 E MARCH LN SUITE:B280
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City | STOCKTON
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State | CA
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Zip | 95210-6629
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Country | US
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Telephone | 209-474-2888
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Fax | 209-474-3328
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Provider Business Mailing Address
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Address Line | 1801 E MARCH LN SUITE:B280
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City | STOCKTON
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State | CA
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Zip | 95210-6629
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Country | US
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Telephone | 209-474-2888
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Fax | 209-474-3328
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Authorized Official
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Title or Position | PHARMACIST INCHARGE
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Name | PRATAP K ANNE
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Credential | RPH
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Telephone | 209-474-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY 49785
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY 49785
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY 49785
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License Number State | CA
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