MEDICARE: TAJJ MULTISERVICES 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
2	3336L0003X	Long Term Care Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH26571	FL

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	2138614	OTHER		PK

General Provider Information

NPI Number	:	1780922245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAJJ MULTISERVICES LLC

Provider Business Mailing Address
First Line	:	3338 NE 34TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6906
Country	:	US
Telephone Number	:	954-741-4000
Fax Number	:	954-741-4777

Provider Business Practice Location Address
First Line	:	3338 NE 34TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6906
Country	:	US
Telephone Number	:	954-741-4000
Fax Number	:	954-741-4777

Authorized Official
Title or Position	:	PHARMACIST
Name	:	TEMITOPE EPOYUN
Credential	:
Telephone Number	:	954-741-4000

Provider Enumeration Date	:	01/17/2013
Last Update Date	:	03/31/2022

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Directions to “TAJJ MULTISERVICES LLC ” Practice Location

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