Provider Demographics
NPI:1275070716
Name:JAHD INC
Entity Type:Organization
Organization Name:JAHD INC
Other - Org Name:SARASOTA APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-218-4090
Mailing Address - Street 1:8620 S TAMIAMI TRL STE N-P
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3049
Mailing Address - Country:US
Mailing Address - Phone:941-218-4090
Mailing Address - Fax:941-412-4502
Practice Address - Street 1:8620 S TAMIAMI TRL STE N-P
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3049
Practice Address - Country:US
Practice Address - Phone:941-218-4090
Practice Address - Fax:941-412-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336C0004X
FLPH305563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168797OtherPK