| NPI | 1255612776 |
|---|---|
| Doing Business As | JACKSON PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIKELOMO PETERS Pharmacist In Charge 832-277-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27618) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2017-12-18 |