Individual
JOHN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
179 W LOCUST ST, WILMINGTON, OH 45177-2180
(937) 382-0081
Mailing address
8859 W BERRYSVILLE RD, HILLSBORO, OH 45133-8666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03331321
OH
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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