Organization
J & M PHARMACY LLC
Active
Organization
J & M PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WAYNE MULLINS PHARMD (OWNER/PHARMACIST)
(606) 910-0555
Entity
Organization
Contact information
Practice address
1587 COMBS RD., SUITE 2, HAZARD, KY 41701-8524
(606) 910-0555
(606) 910-0124
Mailing address
PO BOX 399, BULAN, KY 41722
(606) 910-0555
(606) 910-0124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08165
PERMIT #
KY
Enumeration date
01/28/2021
Last updated
01/28/2021
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