Organization
JW2 LLC
Active
Other names
Desert Canyon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS C JACKMAN PHARM D (OWNER)
(435) 900-1008
Entity
Organization
Contact information
Practice address
922 E BRIGHAM RD BLDG 4D, ST GEORGE, UT 84790-8751
(435) 900-1008
(435) 900-1009
Mailing address
922 E BRIGHAM RD BLDG 4D, ST GEORGE, UT 84790-8751
(435) 900-1008
(435) 900-1009
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
11/13/2024
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