Jolley, Leo Dean
Jolley, Leo Dean is an individual health care provider with primary practice located at 1702 S 1100 E , Salt Lake City UT 84105-3424. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Jolley, Leo Dean can be contacted 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 |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 145642-1701 | Utah |
Profile Details
| NPI number | 1073247268 |
|---|---|
| LBN Legal business name | Jolley, Leo Dean |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2022 |
| Last updated | Jul 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073247268 | NPPES |
| Utah | Other | 145642-1701 | UTAH PHARMACIST LICENSE |
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