Provider Demographics
NPI:1992413553
Name:J&A PHARMACY LLC
Entity type:Organization
Organization Name:J&A PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIMPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-2759
Mailing Address - Street 1:7323 HARRISBURG BLVD STE M
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4738
Mailing Address - Country:US
Mailing Address - Phone:713-330-4404
Mailing Address - Fax:
Practice Address - Street 1:7323 HARRISBURG BLVD STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4738
Practice Address - Country:US
Practice Address - Phone:713-330-4404
Practice Address - Fax:713-330-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy