PSJ PHARMACY LLC NPI 1396184933

NPI Information

PSJ PHARMACY LLC is a long term care pharmacy pharmacy in Cocoa, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PSJ PHARMACY LLC NPI is 1396184933. The provider is registered as an organization entity type.
The provider Is Doing Business As Port St. John Discount Pharmacy.

The provider's business location address is:

6801 N US HIGHWAY 1 STE 1
COCOA, FL
ZIP 32927-095
Phone: (321) 637-0911
Fax: (321) 639-0856

The provider's authorized official is Rajesh Arvindbhai Patel .
The authorized official title is Manager/pharmacist and has the following contact phone number (321) 637-0911.

The CLIA number assigned to this NPI record is 10D2190349 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2013 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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