Organization
JAYSIX ENTERPRISES LLC
Active
Other names
Sam's Regent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ARNETT (OWNER)
(505) 346-0533
Entity
Organization
Contact information
Practice address
7120 WYOMING BLVD NE, STE 7B, ALBUQUERQUE, NM 87109-4887
(505) 346-0533
(505) 346-0532
Mailing address
7120 WYOMING BLVD NE, STE 7B, ALBUQUERQUE, NM 87109-4887
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3207861
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
78726271
—
NM
Enumeration date
09/20/2006
Last updated
08/26/2019
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