MEDICARE: JUST HERE 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	3336C0003X	Community/Retail Pharmacy	PP481891	PA

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	2119184	OTHER		PK

General Provider Information

NPI Number	:	1922245315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST HERE LLC

Provider Business Mailing Address
First Line	:	3800 N BROAD ST
Second Line	:	UNIT #2
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-3610
Country	:	US
Telephone Number	:	215-228-3470
Fax Number	:	215-228-3473

Provider Business Practice Location Address
First Line	:	3800 N BROAD ST
Second Line	:	UNIT #2
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-3610
Country	:	US
Telephone Number	:	215-228-3470
Fax Number	:	215-228-3473

Authorized Official
Title or Position	:	PHARMACIST/PARTNER
Name	:	KWABENA BOAKYE
Credential	:	RPH
Telephone Number	:	215-228-3470

Provider Enumeration Date	:	01/07/2009
Last Update Date	:	09/19/2025

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Directions to “JUST HERE LLC ” Practice Location

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