MEDICARE: JJ PHARMACY LLC

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

General Provider Information

NPI Number	:	1568992162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJ PHARMACY LLC

Provider Business Mailing Address
First Line	:	13415 WOODFOREST BLVD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2922
Country	:	US
Telephone Number	:	713-330-4400
Fax Number	:	713-330-4406

Provider Business Practice Location Address
First Line	:	13415 WOODFOREST BLVD STE K
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2922
Country	:	US
Telephone Number	:	713-330-4400
Fax Number	:	713-330-4406

Authorized Official
Title or Position	:	OWNER
Name	:	FARKHONDEH BARADARAN
Credential	:
Telephone Number	:	713-330-4400

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	02/27/2026

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