Provider Demographics
NPI:1194077560
Name:J&J PHARMS. LLC.
Entity type:Organization
Organization Name:J&J PHARMS. LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HANES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:970-854-3663
Mailing Address - Street 1:112 E CARNAHAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:CO
Mailing Address - Zip Code:80734-1007
Mailing Address - Country:US
Mailing Address - Phone:970-854-3663
Mailing Address - Fax:
Practice Address - Street 1:112 E CARNAHAN ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:CO
Practice Address - Zip Code:80734-1007
Practice Address - Country:US
Practice Address - Phone:970-854-3663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy