Organization
JOLLY'S DRUG STORE LLC
Active
Other names
Jolly's Drug Store - Alamo
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HEATON (OWNER)
(801) 358-9608
Entity
Organization
Contact information
Practice address
414 BROADWAY, ALAMO, NV 89001
(775) 725-3515
(775) 725-3518
Mailing address
PO BOX 1011, CALIENTE, NV 89008-1011
(775) 725-3515
(775) 725-3518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH03674
NV
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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