Organization
JC MILLENNIUM ENTERPRISES, LLC
Active
Other names
Hero Home Delivery & Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BALUYOT (STAFF PHARMACIST)
(817) 408-0417
Entity
Organization
Contact information
Practice address
4926 COLUMBIA AVE, DALLAS, TX 75214-5506
(817) 408-0417
Mailing address
6610 LAKE SHORE DR, GARLAND, TX 75044-2042
(817) 408-0417
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
32030
TX
Other
Enumeration date
07/18/2018
Last updated
03/27/2019
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