# JET'S PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942823356
- **Authorized official:** DR. TREY STEPHENS PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (912) 270-1167

## Contact information

- **Practice address:** 1229 NORTH WAY, DARIEN, GA 31305-9143
- **Practice address phone:** (912) 437-3784
- **Practice address fax:** (912) 437-6242
- **Mailing address:** PO BOX 498, DARIEN, GA 31305-0498
- **Mailing address phone:** (912) 437-3784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 10/20/2021