Provider Demographics
NPI:1174111546
Name:J&B PHARMACY SERVICES INC.
Entity type:Organization
Organization Name:J&B PHARMACY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-611-2941
Mailing Address - Street 1:50496 PONTIAC TRL STE 1500
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-2088
Mailing Address - Country:US
Mailing Address - Phone:888-611-2941
Mailing Address - Fax:888-611-2942
Practice Address - Street 1:50496 PONTIAC TRL STE 1500
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2088
Practice Address - Country:US
Practice Address - Phone:888-611-2941
Practice Address - Fax:888-611-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy