MEDICARE: J & J RX NETWORK 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1881499564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & J RX NETWORK LLC

Provider Business Mailing Address
First Line	:	2930 MOSS ST STE A
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1274
Country	:	US
Telephone Number	:	337-232-2666
Fax Number	:	337-233-5978

Provider Business Practice Location Address
First Line	:	2930 MOSS ST STE A
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1274
Country	:	US
Telephone Number	:	337-232-2666
Fax Number	:	337-233-5978

Authorized Official
Title or Position	:	OWNER
Name	:	TALA BUI
Credential	:	PHARMD
Telephone Number	:	770-241-1893

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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Directions to “J & J RX NETWORK LLC ” Practice Location

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