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Organization
JACKSONS DRUGS OF MONTICELLO INC
Active
Organization
JACKSONS DRUGS OF MONTICELLO INC
Active
Other names
JACKSONS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L JACKSON RPH (PRESIDENT)
(850) 997-3553
Entity
Organization
Contact information
Practice address
166 E DOGWOOD ST, MONTICELLO, FL 32344-1928
(850) 997-3553
(850) 342-3578
Mailing address
PO BOX 338, MONTICELLO, FL 32345-0338
(850) 997-3553
(850) 342-3578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101505200
—
FL
Enumeration date
08/25/2006
Last updated
02/10/2010
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