J & L Pharmacy, Inc
Customized Equipment
200 W 26th St, Bryan
Texas, 77803-3232
979-822-3575 979-823-7278
J & L Pharmacy, Inc is not a DME supplier for medicare equipments and products.
J & L Pharmacy, Inc is a Customized Equipment in Bryan, Texas. It is located at 200 W 26th St, Bryan and it's customer support contact number is 979-822-3575. The authorized person of J & L Pharmacy, Inc is Randy Mutz who is President of the pharmacy and his contact number is 979-822-3575. Active license number of J & L Pharmacy, Inc is 12500 for Customized Equipment in Texas.
J & L Pharmacy, Inc is definition to come...
Pharmacy Details:
J & L Pharmacy, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | J & L Pharmacy, Inc |
| Type: | Customized Equipment |
| Location: | 200 W 26th St, Bryan, Texas, 77803-3232 |
| Phone: | 979-822-3575 |
| Fax: | 979-823-7278 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Randy Mutz |
| Position: | President |
| Contact Number: | 979-822-3575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1427073790 |
| NPI Enumeration Date: | 13 Jul, 2006 |
| NPI Last Update On: | 13 Nov, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for J & L Pharmacy, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 12500 | Texas | Primary | |
| Long Term Care Pharmacy | 12500 | Texas | Secondary | |
| Mail Order Pharmacy | 12500 | Texas | Secondary | |
| Durable Medical Equipment & Medical Supplies | 12500 | Texas | Secondary | |
| Parenteral & Enteral Nutrition | 12500 | Texas | Secondary | |
| Oxygen Equipment & Supplies | 12500 | Texas | Secondary | |
| Pharmacy | 12500 | Texas | Secondary | |
| Home Infusion Therapy Pharmacy | 12500 | Texas | Secondary | |
| Community/Retail Pharmacy | 12500 | Texas | Secondary | |
| Specialty Pharmacy | 12500 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 013833101 | Medicaid | Texas | |
| 750655 | Other | Texas | Bcbs Hit |
| 1209983-04 | Medicaid | Texas | |
| 519933 | Other | Texas | Bcbs Dme |
| 104686100 | Other | | Firstcare |
| 722475922-0001 | Other | | Champus |
| 1209983-02 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5047, Meridian, Mississippi |
| Zip: | 39302-5047 |
| Phone Number: | 800-447-4095 |
| Fax Number: | 601-482-7490 |
Patients can reach J & L Pharmacy, Inc at
200 W 26th St, Bryan, Texas or can
call on customer care at 979-822-3575.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.