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Organization
JERKINS INC
Active
Organization
JERKINS INC
Active
Other names
Bubba's Medicine Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF JERKINS (PHARMACIST/NEW OWNER)
(334) 749-3426
Entity
Organization
Contact information
Practice address
512 2ND AVE, OPELIKA, AL 36801-4316
(334) 749-3426
(334) 742-0757
Mailing address
512 2ND AVE, OPELIKA, AL 36801-4316
(334) 749-3426
(334) 742-0757
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101890
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117023
—
AL
05
—
125867
—
AL
01
—
2123486
PK
—
Enumeration date
01/22/2006
Last updated
02/19/2020
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