MEDICARE: JTECS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	PP413586L	PA
3	3336L0003X	Long Term Care Pharmacy
4	3336S0011X	Specialty Pharmacy
5	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2138840	OTHER		PK

General Provider Information

NPI Number	:	1144565847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JTECS INC

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

Provider Business Practice Location Address
First Line	:	1000 MARKET ST STE 9
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-2601
Country	:	US
Telephone Number	:	570-784-9582
Fax Number	:	570-389-1622

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

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	04/21/2022

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Directions to “JTECS INC ” Practice Location

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