Organization
JERRY'S PHARMACY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY SMOLIK RPH (PHARMACIST, OWNER)
(361) 776-2577
Entity
Organization
Contact information
Practice address
2793 MAIN ST, INGLESIDE, TX 78362-5901
(361) 776-2577
(361) 776-0967
Mailing address
2793 MAIN ST, INGLESIDE, TX 78362-5901
(361) 776-2577
(361) 776-0967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
23292
TX
333600000X
Pharmacy
Primary
25909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145436
—
TX
05
—
166649701
—
TX
01
—
4536807
NCPDP
—
Enumeration date
12/13/2006
Last updated
02/16/2010
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