Organization
JAMMAL PHARMS INC
Active
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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