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Organization
STEVEN L JACKSON, INC
Active
Organization
STEVEN L JACKSON, INC
Active
Other names
Jackson-Pace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN L JACKSON R. PH (OWNER)
(850) 478-4450
Entity
Organization
Contact information
Practice address
2256 W NINE MILE RD, PENSACOLA, FL 32534
(850) 478-4450
(850) 478-4842
Mailing address
2256 W NINE MILE RD, PENSACOLA, FL 32534-9415
(850) 478-4450
(850) 478-4842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010361-00
—
FL
Enumeration date
08/03/2006
Last updated
07/11/2018
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