Provider Demographics
NPI:1174624324
Name:J & H PHARMACY INC.
Entity type:Organization
Organization Name:J & H PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:573-785-0127
Mailing Address - Street 1:1465 N WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-3315
Mailing Address - Country:US
Mailing Address - Phone:573-785-0127
Mailing Address - Fax:573-785-1209
Practice Address - Street 1:1465 N WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-3315
Practice Address - Country:US
Practice Address - Phone:573-785-0127
Practice Address - Fax:573-785-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO30097183500000X
MO59923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty