Organization
JOLLEY'S CORNER VARIETY, INC.
Active
Other names
JOLLEYS CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
M BRYCE JOLLEY (PRESIDENT)
(801) 582-1999
Entity
Organization
Contact information
Practice address
1676 E 1300 S, SALT LAKE CITY, UT 84105-1704
(801) 582-1999
(801) 582-1270
Mailing address
1676 E 1300 S, SALT LAKE CITY, UT 84105-1704
(801) 582-1999
(801) 582-1270
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
57508311717
UT
Other
Enumeration date
12/11/2006
Last updated
03/03/2015
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