Organization
JGS HEALTH SERVICES LLC
Active
Other names
Minneola Pharmacy II LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAN R GRANADOS PHARMD, MPH (CO-OWNER/MANAGER)
(620) 885-4544
Entity
Organization
Contact information
Practice address
131 S MAIN ST, MINNEOLA, KS 67865
(620) 885-4544
(620) 885-4723
Mailing address
PO BOX 460, MINNEOLA, KS 67865-0460
(620) 885-4544
(620) 885-4723
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201318470A
—
KS
05
—
201328550A
—
KS
01
—
2027671
PK
—
Enumeration date
09/06/2006
Last updated
04/17/2024
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