| 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 |