Provider Demographics
NPI:1396126413
Name:JIFFY SCRIPTS RX, LLC
Entity type:Organization
Organization Name:JIFFY SCRIPTS RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANGELAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-819-2968
Mailing Address - Street 1:3110 PROMENADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2777
Mailing Address - Country:US
Mailing Address - Phone:201-590-2884
Mailing Address - Fax:551-225-1088
Practice Address - Street 1:3110 PROMENADE BLVD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2777
Practice Address - Country:US
Practice Address - Phone:201-590-2884
Practice Address - Fax:551-225-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies