Provider Demographics
NPI:1881425155
Name:JUNCTION FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:JUNCTION FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JAMARR
Authorized Official - Last Name:PATTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:567-277-0630
Mailing Address - Street 1:1339 DORR ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-4015
Mailing Address - Country:US
Mailing Address - Phone:567-277-0630
Mailing Address - Fax:940-301-3933
Practice Address - Street 1:1339 DORR ST UNIT A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-4015
Practice Address - Country:US
Practice Address - Phone:567-277-0630
Practice Address - Fax:940-301-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy