Organization
J & S PROSPERITY, LLC
Active
Organization
J & S PROSPERITY, LLC
Active
Other names
IBO Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAIN WIGGINS (MANAGER)
(346) 570-2663
Entity
Organization
Contact information
Practice address
1544 KENFOREST DR, MISSOURI CITY, TX 77489-2165
(346) 570-2663
Mailing address
3811 EDGEWOOD HILL CT, FRESNO, TX 77545-8759
(832) 264-3296
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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