# JC MILLENNIUM ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hero Home Delivery & Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366928780
- **Authorized official:** JORDAN BALUYOT (STAFF PHARMACIST)
- **Authorized official phone:** (817) 408-0417

## Contact information

- **Practice address:** 4926 COLUMBIA AVE, DALLAS, TX 75214-5506
- **Practice address phone:** (817) 408-0417
- **Mailing address:** 6610 LAKE SHORE DR, GARLAND, TX 75044-2042
- **Mailing address phone:** (817) 408-0417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 32030 | TX | Yes |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 03/27/2019