Provider Demographics
NPI:1679466148
Name:JVK HEALTH LLC
Entity type:Organization
Organization Name:JVK HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:310-346-9780
Mailing Address - Street 1:203 E DAVIS ST STE B
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-3160
Mailing Address - Country:US
Mailing Address - Phone:936-647-3250
Mailing Address - Fax:
Practice Address - Street 1:203 E DAVIS ST STE B
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-3160
Practice Address - Country:US
Practice Address - Phone:936-647-3250
Practice Address - Fax:844-991-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy