| NPI | 1376137984 |
|---|---|
| Doing Business As | JACKSON APOTHECARY, LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD F MANN Business Office Director 334-293-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |