| 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 |