| NPI | 1326149501 |
|---|---|
| Other Name | JACKSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOC BA NGUYEN Pharmacy Manage 206-329-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA Phar.CF.00004995) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-07-15 |