Organization
JIB ENTERPRISES LLC
Active
Organization
JIB ENTERPRISES LLC
Active
Other names
Drug Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUBINA BUTT (OWNER/MANAGER)
(702) 807-2049
Entity
Organization
Contact information
Practice address
1590 W HORIZON RIDGE PKWY, SUITE#130, HENDERSON, NV 89012-3507
(702) 834-8152
(702) 834-8156
Mailing address
1590 W HORIZON RIDGE PKWY, SUITE#130, HENDERSON, NV 89012-3507
(702) 834-8152
(702) 834-8156
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH02512
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119350
PK
—
Enumeration date
02/18/2009
Last updated
10/12/2016
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