| NPI | 1831228618 |
|---|---|
| Doing Business As | JACKSON NORTH CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEAN GRAY HUNDERUP Pharmacist In Charge Noah 731-664-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 2987) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-05-29 |