Organization
JEN&JOSH INC
Active
Organization
JEN&JOSH INC
Active
Other names
Dierks Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JONES (PRESIDENT)
(870) 285-3309
Entity
Organization
Contact information
Practice address
323 MAIN ST, DIERKS, AR 71833-0140
(870) 286-3131
(870) 286-2547
Mailing address
PO BOX 69, DIERKS, AR 71833-0069
(870) 286-3131
(870) 286-2547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR16330
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208506407
—
AR
01
—
2151012
PK
—
Enumeration date
08/11/2006
Last updated
10/19/2022
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