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JOLLEY COMP AND SPECIALTY PHAM

Medical Equipment Supplier Yellow Pages

Salt Lake City, Utah

Provider NPI: 1659445187

Organization Information:
Organization Name:  JOLLEY COMP AND SPECIALTY PHAM


Practice Location:
1702 S 1100 E  SALT LAKE CITY, UT 84105 US
Tel: 801-484-4393  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
UT3318751703

Other Provider Identifiers:

IssuerNumberStateType
NCPDP460277101
PK210767001
UTAH PHARMACY LICENSE #331875-1703UT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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