| NPI | 1477668416 |
|---|---|
| Doing Business As | JACKSON CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARLENE PATTON Phcy Dir 731-422-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TN 454) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-06-12 |