| NPI | 1245630276 |
|---|---|
| Doing Business As | JACKSON MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS REDDY KATPELLY President 408-251-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY50147) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |