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Contact Information

JOLLY'S DRUG STORE LLC
414 BROADWAY
ALAMO, NV89001
 Phone: 775-725-3515
 Fax: 775-725-3518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JOLLY'S DRUG STORE LLC

NPI Number 1184162844
LBN Legal business name JOLLY'S DRUG STORE LLC
Authorized official JONATHAN HEATON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2017
Last updated 02/02/2017 - About 9 years ago
Identifiers
NV License # PH03674
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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