NPI | 1649619222 |
---|---|
Doing Business As | CAREDIRECT RX OF JACKSON, LLC |
Entity Type | Organization |
Authorized Contact | PORTER MCCOLLISTER Manager 205-414-6681 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 114123) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |