Organization
TALEIO INCORPORATED
Active
Organization
TALEIO INCORPORATED
Active
Other names
JAY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAMONICA L GORRELL PHARMD (OFFICER)
(832) 889-7872
Entity
Organization
Contact information
Practice address
1116 RADIO LN STE 202, ROSENBERG, TX 77471-3953
(832) 451-6340
(832) 451-6668
Mailing address
1116 RADIO LN STE 202, ROSENBERG, TX 77471-3953
(832) 889-7872
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150329
—
TX
Enumeration date
04/30/2020
Last updated
08/25/2021
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