| NPI | 1154754760 |
|---|---|
| Doing Business As | JACKSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAZARO MORENO Owner 786-502-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26920) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2014-04-10 |