NPI | 1689619348 |
---|---|
Doing Business As | JACKSON APOTHECARY |
Entity Type | Organization |
Authorized Contact | ROSEMAYR C SMITH Sec/Treas 606-464-3901 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P06509) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2009-05-08 |