National Provider Identifier Database

JOLLYS DRUG STORE LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

JOLLY'S DRUG STORE LLC
414 BROADWAY
ALAMO, NV89001
Phone: 775-725-3515
Fax: 775-725-3518
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for JOLLY'S DRUG STORE LLC

NPI Number 1184162844
Legal business name
LBN
JOLLY'S DRUG STORE LLC
Authorized official JONATHAN HEATON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/02/2017
Last updated 02/02/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: PH03674

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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