| NPI | 1174567853 |
|---|---|
| Doing Business As | JACKSON DRUG CO |
| Entity Type | Organization |
| Authorized Contact | STANLEY HOGAN Owner And President 770-775-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE004185) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-07-01 |