| NPI | 1467116137 |
|---|---|
| Doing Business As | JACKSON APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | RICHARD F MANN Business Office Director 334-293-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |