| NPI | 1659445187 |
|---|---|
| Doing Business As | JOLLEY'S COMPOUNDING PHARMACY |
| Former Legal Business Name | JOLLEY'S CORNER PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | DEAN JOLLEY Owner/Pharmasist 801-484-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 3318751703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-09-29 |