CRJ PHARMACY, INC.
Managed Care Organizations at Crystal Lake Dr, Lakeland, FL

License number
Florida PH21511
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MR. DEREK ORVILLE O'BANNON
Title: PRESIDENT
Phone: (863) 669-1329
Address
Address
1845 N Crystal Lake Dr, Lakeland, FL 33801
National Provider ID: 1942375670
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Crj Pharmacy Inc

979 Lk Hollingsworth Dr, Lakeland, FL 33803

Industry:
Retail Pharmacy
Phone:
(863) 669-1451 (Phone)
President:
John Johnson (President)

Crj Pharmacy, Inc

Lakeland, FL

Status:
Inactive
Industry:
Ret Drugs/Sundries
Doing business as:
Crj Neighborhood Pharmacy
Registration:
Jul 25, 2005
Addresses:
1845 N Crystal Lk Dr, Lakeland, FL 33801
114 Palmola St, Lakeland, FL 33803
State ID:
P05000103747
Business type:
Domestic for Profit Corporation
Presidents:
Derek O. O'bannon (President),Joseph A. Munchel President, inactive
Agent:
Joseph Muchel

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