Provider Demographics
NPI:1235968488
Name:GFJ INC
Entity type:Organization
Organization Name:GFJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDERGRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-451-3784
Mailing Address - Street 1:3359 S ELM PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7924
Mailing Address - Country:US
Mailing Address - Phone:918-451-3784
Mailing Address - Fax:918-451-2295
Practice Address - Street 1:3359 S ELM PL
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7924
Practice Address - Country:US
Practice Address - Phone:918-451-3784
Practice Address - Fax:918-451-2295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GFJ, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-27
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy