| NPI | 1760871339 |
|---|---|
| Doing Business As | JACKSON COMMUNITY PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MERRIWETHER Managing Member 601-983-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS F14158) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |