| NPI | 1043627367 |
|---|---|
| Doing Business As | JACKSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIPA SHAH Manager 904-329-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph28265) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2015-09-09 |