Provider Demographics
NPI:1114756541
Name:JO-MAR LABORATORY & MARKETING CORP.
Entity type:Organization
Organization Name:JO-MAR LABORATORY & MARKETING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-728-8010
Mailing Address - Street 1:384 PINE ST
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4518
Mailing Address - Country:US
Mailing Address - Phone:831-728-8010
Mailing Address - Fax:
Practice Address - Street 1:384 PINE ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4518
Practice Address - Country:US
Practice Address - Phone:831-728-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier