Jjel,llc
NPI #1619502168 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1619502168
- Entity Type
- Organization
- Organization Name
- Jjel,llc
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Mar 5, 2020
- Last Updated
- Mar 5, 2020
Practice Location
- Address
- 1500 CURVE CREST BLVD W
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6040
- Phone
- (651) 430-4670
Authorized Official
- Name
- DR. JIM POLUCHA, PHARM.D, BSPHARM
- Title
- OWNER/PRESIDENT/PHARMACIST
- Phone
- (651) 430-4670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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