NPI | 1770591968 |
---|---|
Doing Business As | JACKSON-PACE PHARMACY |
Entity Type | Organization |
Authorized Contact | STEVEN L JACKSON Owner 850-478-4450 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL 1200) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2018-07-11 |