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NPI Code Detail

MEDICARE: PJ PHARMACY INC

MEDICARE: PJ PHARMACY 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1912511395
Entity Type Code : Organization
Provider Name (Legal Business Name) : PJ PHARMACY INC
Provider Business Mailing Address
First Line : 1043 ROUTE 112
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-6000
Country : US
Telephone Number : 631-928-1010
Fax Number : 631-928-1099
Provider Business Practice Location Address
First Line : 1043 ROUTE 112
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-6000
Country : US
Telephone Number : 631-928-1010
Fax Number : 631-928-1099
Authorized Official
Title or Position : PRESIDENT
Name : DAVID BINAMINOV
Credential :
Telephone Number : 631-928-1010
Provider Enumeration Date : 09/03/2020
Last Update Date : 12/22/2021

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Directions to “PJ PHARMACY INC ” Practice Location

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