Jolley'S Compounding Pharmacy
LBN: Jolley Comp And Specialty Pham
Jolley'S Compounding Pharmacy is an health care organization with primary practice located at 1702 S 1100 E , Salt Lake City UT 84105-3424. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jolley Comp And Specialty Pham can be contacted via phone (801) 484-4393, or through Jolley, Dean via phone (801) 484-4393.
Contact Information
Primary practice address
1702 S 1100 E
Salt Lake City UT 84105-3424
Phone: (801) 484-4393
Fax: (801) 484-8677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3318751703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1659445187 |
|---|---|
| LBN Legal business name | Jolley Comp And Specialty Pham |
| DBA Doing business as | Jolley'S Compounding Pharmacy |
| Authorized official | Jolley, Dean RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 29th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659445187 | NPPES |
| Other | 2107670 | PK | |
| Other | 331875-1703 | PK | |
| Other | 4602771 | PK |
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