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Contact Information

PEJ INC
265 HWY 15 S SUITE 2
JACKSON, KY41339
 Phone: 606-666-5519
 Fax: 606-666-9371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PEJ INC

NPI # 1518006048
LBN Legal business name PEJ INC
Authorized official EVERETT DUNAWAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 07/29/2008 - About 18 years ago
Identifiers
KY License # P06562
KY Medicaid 54000500
KY Other 90001389 MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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