Organization
JJEL,LLC
Active
Other names
Valley Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM POLUCHA PHARM.D, BSPHARM (OWNER/PRESIDENT/PHARMACIST)
(651) 430-4670
Entity
Organization
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 430-4670
(651) 430-4671
Mailing address
12508 JODY AVE N, HUGO, MN 55038-9419
(651) 439-2825
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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