| NPI | 1265560528 |
|---|---|
| Doing Business As | JEFFERSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN KENNEDY Managing Member 210-824-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 06118) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-10-26 |