MEDICARE: JEM ASSETS, LLC DBA PHARMACIST CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QG0250X	Genetics Clinic/Center
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1114696218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEM ASSETS, LLC DBA PHARMACIST CARE

Provider Business Mailing Address
First Line	:	6822 CHARETTE CT STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9424
Country	:	US
Telephone Number	:	980-254-1231
Fax Number	:	704-519-2776

Provider Business Practice Location Address
First Line	:	6822 CHARETTE CT STE 1
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-9424
Country	:	US
Telephone Number	:	980-254-1231
Fax Number	:	704-519-2776

Authorized Official
Title or Position	:	CEO/CLINICAL PHARMACIST
Name	:	DR. JUSTIN HERBERT
Credential	:	PHARMD
Telephone Number	:	980-254-1231

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	05/06/2022

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