Organization
JJLM PHARMACEUTICALS
Active
Other names
Prime Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JAMES LELAND MA PHARMD (PRESIDENT)
(714) 363-3686
Entity
Organization
Contact information
Practice address
396 S. MAIN ST. STE 102, ORANGE, CA 92868
(714) 363-3686
Mailing address
396 S MAIN ST STE 102, ORANGE, CA 92868-3845
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55717
CA
Other
Enumeration date
06/20/2017
Last updated
03/06/2018
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