Organization
JOBATH ENTERPRISES, INC
Active
Organization
JOBATH ENTERPRISES, INC
Active
Other names
Haysi Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL C THORNBURY R.PH. (VP/CFO)
(276) 935-4777
Entity
Organization
Contact information
Practice address
23906 DICKENSON HIGHWAY, HAYSI, VA 24256-0515
(276) 865-5135
(276) 865-5006
Mailing address
PO BOX 515, HAYSI, VA 24256-0515
(276) 865-5135
(276) 865-5006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
009138714
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0478730001
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001578
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008511829
—
VA
05
—
009138714
—
VA
01
—
0201001578
STATE LIC #
VA
01
—
4806658
NABP
—
Enumeration date
10/31/2006
Last updated
03/07/2023
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