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JOLLEY'S CORNER VARIETY INC. NPI 1588724397


NPI Information

NPI: 1588724397
Provider Name: JOLLEY'S CORNER VARIETY, INC.

Doing Business As: JOLLEYS CORNER PHARMACY

Classification: Pharmacy Technician - 183700000X
Entity Type: Organization

CLIA Number: 46D2146067

Address:
1676 E 1300 S
SALT LAKE CITY, UT
ZIP 84105
Phone: (801) 582-1999
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JOLLEY'S CORNER VARIETY, INC. is a pharmacy technician in Salt Lake City, UT. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. JOLLEY'S CORNER VARIETY, INC. NPI is 1588724397. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jolleys Corner Pharmacy.

The provider's business location address is:

1676 E 1300 S
SALT LAKE CITY, UT
ZIP 84105-704
Phone: (801) 582-1999
Fax: (801) 582-1270

The provider's authorized official is M Bryce Jolley .
The authorized official title is President and has the following contact phone number (801) 582-1999.

The CLIA number assigned to this NPI record is 46D2146067 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183700000XPharmacy Technician57508311717UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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