NPI | 1588356752 |
---|---|
Doing Business As | MOYE'S JACKSON LTC |
Entity Type | Organization |
Authorized Contact | JENNIFER LAMB Compliance Officer 770-474-7693 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-05-24 |