IndividualActive
Chris Jolly
NPI 1003440629 · Pharmacist · Electra, TX
Provider details
- NPI number
- 1003440629
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 37304 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
111 W Cleveland Ave
Electra, TX 76360-2603
Phone: (940) 495-4113
Approximate (ZIP-level) locationGet directions
Mailing address
111 W Cleveland Ave
Electra, TX 76360-2603
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.