Provider Demographics
NPI:1699159467
Name:JLOVE LLC (DBA ADLER PHARMACY)
Entity type:Organization
Organization Name:JLOVE LLC (DBA ADLER PHARMACY)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:OSEMEKE
Authorized Official - Last Name:EBHODAGHE
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM( RPH)
Authorized Official - Phone:336-240-9137
Mailing Address - Street 1:1750 TIMBER COVE COURT
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127
Mailing Address - Country:US
Mailing Address - Phone:336-240-9137
Mailing Address - Fax:336-897-3811
Practice Address - Street 1:3806 A NORTH CHURCH STREET
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405
Practice Address - Country:US
Practice Address - Phone:336-897-3810
Practice Address - Fax:336-897-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-11
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC126373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy