Organization
JAMMAL PHARMS INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE JENSEN PHARMD (OWNER PHARMACIST)
(308) 234-8056
Entity
Organization
Contact information
Practice address
2706 2ND AVE, STE A, KEARNEY, NE 68847-4429
(308) 234-8056
(308) 234-8060
Mailing address
2706 2ND AVE, STE A, KEARNEY, NE 68847-4429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
110
NE
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044200
—
NE
01
—
2816645
NCPDP #
NE
Enumeration date
10/03/2006
Last updated
03/07/2023
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