# JACKSON DRUG CO., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184640369
- **Authorized official:** MR. JAMES ROBERT JACKSON RPH (PRES)
- **Authorized official phone:** (706) 857-2731

## Contact information

- **Practice address:** 10077 COMMERCE ST, SUMMERVILLE, GA 30747-1356
- **Practice address phone:** (706) 857-2731
- **Practice address fax:** (706) 857-1773
- **Mailing address:** PO BOX 120, SUMMERVILLE, GA 30747-0120
- **Mailing address phone:** (706) 857-2731
- **Mailing address fax:** (706) 857-1773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE004184 | GA | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020