Healthcare Provider Details

I. General information

NPI: 1851282727
Provider Name (Legal Business Name): JET'S PHARMACY II, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5408 GOLDEN ISLES PKWY UNIT 4
BRUNSWICK GA
31525-8921
US

IV. Provider business mailing address

5408 GOLDEN ISLES PKWY UNIT 4
BRUNSWICK GA
31525-8921
US

V. Phone/Fax

Practice location:
  • Phone: 912-694-3784
  • Fax: 912-324-4832
Mailing address:
  • Phone: 912-694-3784
  • Fax: 912-324-4832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TREY STEPHENS
Title or Position: OWNER
Credential:
Phone: 912-694-3784