| NPI | 1073683884 |
|---|---|
| Doing Business As | EAST JACKSON FAMILY MED CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN BARRON Dir 731-425-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TN 0000003148) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-10-14 |