MEDICARE: S & J SCRIPTURE STREET PHARMACY INCORPORATED

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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	27268	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2127940	OTHER		PK

General Provider Information

NPI Number	:	1558664375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & J SCRIPTURE STREET PHARMACY INCORPORATED

Provider Business Mailing Address
First Line	:	1612 SCRIPTURE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-3809
Country	:	US
Telephone Number	:	940-484-0100
Fax Number	:	940-484-2600

Provider Business Practice Location Address
First Line	:	1612 SCRIPTURE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-3809
Country	:	US
Telephone Number	:	940-484-0100
Fax Number	:	940-484-2600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JARROD LINK
Credential	:	RPH
Telephone Number	:	940-484-0100

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	03/07/2017

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Directions to “S & J SCRIPTURE STREET PHARMACY INCORPORATED ” Practice Location

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