Organization
JNCN HOLDINGS LLC
Active
Other names
Simmans Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CONNEKA NEAL (OWNER)
(682) 422-3258
Entity
Organization
Contact information
Practice address
16842 HIGHWAY 3, WEBSTER, TX 77598-2112
(832) 932-5747
(832) 932-5749
Mailing address
2751 VELA, GRAND PRAIRIE, TX 75054-5538
(682) 422-3258
(682) 422-3004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5906106
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/26/2012
Last updated
06/12/2012
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