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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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