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Organization
JVHD LLC
Active
Organization
JVHD LLC
Active
Other names
Kermit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN DARJI (OWNER/MANAGER)
(432) 266-1912
Entity
Organization
Contact information
Practice address
810 MYER LN, KERMIT, TX 79745
(432) 586-2556
(432) 586-5934
Mailing address
810 MYER LN, KERMIT, TX 79745
(432) 586-2556
(432) 586-5934
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28298
TX
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PH0003445
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146706
—
TX
05
—
15528006
—
NM
01
—
2136629
PK
—
Enumeration date
07/24/2007
Last updated
09/19/2018
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