NPI | 1659445187 |
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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 |