# JACKSON PHARMACY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patterson Drugs Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841238300
- **Authorized official:** MRS. STACEY MARIE PATTERSON (MANAGER/OWNER)
- **Authorized official phone:** (770) 775-7813

## Contact information

- **Practice address:** 22 MULBERRY ST., JACKSON, GA 30233
- **Practice address phone:** (770) 775-7813
- **Practice address fax:** (700) 775-7171
- **Mailing address:** 22 MULBERRY ST., JACKSON, GA 30233
- **Mailing address phone:** (770) 775-7813
- **Mailing address fax:** (700) 775-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE002860 | GA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 01/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00520704A | — | GA |