Jai Jagannath INC

NPI #1639679079 in Sunnyvale, Texas

Provider Information

NPI Number
1639679079
Entity Type
Organization
Organization Name
Jai Jagannath INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 12, 2018
Last Updated
Feb 12, 2018

Practice Location

Address
3635 N BELT LINE RD STE 100
State
Texas
ZIP Code
75182-9235
Phone
(972) 290-0341

Authorized Official

Name
MR. SRINIVASA RAO KOMIRISETTY
Title
PRESIDENT
Phone
(972) 290-0341

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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