Organization
TMJ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD JOLLEY (OWNER)
(801) 757-7500
Entity
Organization
Contact information
Practice address
8806 S REDWOOD RD, WEST JORDAN, UT 84088-9337
(801) 747-7500
(801) 747-7504
Mailing address
8806 S REDWOOD RD, SUITE 102, WEST JORDAN, UT 84088-9337
(801) 747-7500
(801) 747-7504
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5810687-1703
UT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100830
PK
—
Enumeration date
07/20/2006
Last updated
04/24/2018
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