| NPI | 1518006048 |
|---|---|
| Doing Business As | FAMILY PHARMACY OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | EVERETT L DUNAWAY Owner 606-666-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06562) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-07-29 |