Jolly's Drug Store LLC

NPI #1184162844 in Alamo, Nevada

Provider Information

NPI Number
1184162844
Entity Type
Organization
Organization Name
Jolly's Drug Store LLC
Primary Specialty
Pharmacy
Enumeration Date
Feb 2, 2017
Last Updated
Feb 2, 2017

Practice Location

Address
414 BROADWAY
City
Alamo
State
Nevada
ZIP Code
89001
Phone
(775) 725-3515

Authorized Official

Name
JONATHAN HEATON
Title
OWNER
Phone
(801) 358-9608

Specialties & Taxonomy Codes

Specialty
Pharmacy

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