Provider Demographics
NPI:1366061475
Name:FPJ INC
Entity type:Organization
Organization Name:FPJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-602-7752
Mailing Address - Street 1:43 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1519
Mailing Address - Country:US
Mailing Address - Phone:731-307-8624
Mailing Address - Fax:731-249-9972
Practice Address - Street 1:200 W MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-6114
Practice Address - Country:US
Practice Address - Phone:731-265-6555
Practice Address - Fax:731-265-6558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAKERS FAMILY PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy