# JATTICORPORATION

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

## Provider details

- **NPI number:** 1992465306
- **Authorized official:** JIMMY THOMAS (CEO)
- **Authorized official phone:** (701) 492-0555

## Contact information

- **Practice address:** 900 42ND ST S, FARGO, ND 58103-2119
- **Practice address phone:** (800) 633-4227
- **Mailing address:** 900 42ND ST S, FARGO, ND 58103-2119
- **Mailing address phone:** (800) 633-4227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2021
- **Last updated:** 12/27/2021