| NPI | 1730767971 |
|---|---|
| Doing Business As | JACKSON PHARMACY -WEST -52081 |
| Entity Type | Organization |
| Authorized Contact | MARK T KNIGHT EVP CFO 305-585-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |