JOLLEY COMP AND SPECIALTY PHAM
1702 S 1100 E
Salt Lake City, UT 84105
801-484-4393
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | UT | 3318751703 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4602771 | OTHER | |
PK | 2107670 | OTHER | |
UTAH PHARMACY LICENSE # | 331875-1703 | UT | OTHER |