Organization
JOLLYS DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HEATON (OWNER)
(775) 726-3771
Entity
Organization
Contact information
Practice address
800 N SPRING ST, CALIENTE, NV 89008-0100
(775) 726-3771
(775) 726-3685
Mailing address
PO BOX 1011, CALIENTE, NV 89008-1011
(775) 726-3771
(775) 726-3685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH03644
NV
Other
Enumeration date
12/16/2016
Last updated
03/02/2017
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