Individual
CHRIS JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W CLEVELAND AVE, ELECTRA, TX 76360-2603
(940) 495-4113
Mailing address
111 W CLEVELAND AVE, ELECTRA, TX 76360-2603
(940) 495-4113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37304
TX
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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