| NPI | 1780695361 |
|---|---|
| Doing Business As | JACKSON MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SATISH ANUGULA Manager Operations 408-251-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50147) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-08-10 |