| NPI | 1194289157 |
|---|---|
| Doing Business As | JACKSON PHARMACY JACKSON SOUTH |
| Entity Type | Organization |
| Authorized Contact | MARK T KNIGHT Chief Financial Officer 305-585-4211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |