NPI Database
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Contact Information

JJS PHARMACY LLC
21010 GOLDEN SPRINGS DR
DIAMOND BAR, CA91789-3831
 Phone: 909-595-4003
 Fax: 909-598-2161
 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
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JJS PHARMACY LLC

NPI # 1750478665
LBN Legal business name JJS PHARMACY LLC
Authorized official STEPHEN LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 09/05/2013 - About 13 years ago
Identifiers
CA License # 47312
CA Medicaid PHA473120
Other 2113793 PK
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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