Provider Demographics
NPI:1336237775
Name:R & J PHARMACIES INC
Entity type:Organization
Organization Name:R & J PHARMACIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:YARZAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-588-3875
Mailing Address - Street 1:419 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-1774
Mailing Address - Country:US
Mailing Address - Phone:724-588-3875
Mailing Address - Fax:724-588-0284
Practice Address - Street 1:419 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1774
Practice Address - Country:US
Practice Address - Phone:724-588-3875
Practice Address - Fax:724-588-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X, 3336C0004X, 3336L0003X, 3336S0011X
PAPP410877L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007395990001Medicaid
2080243OtherPK
PA1007395990001Medicaid
0782090001Medicare NSC
PA0782090001Medicare NSC
117039OtherMASS IMMUNIZATION