# JERKINS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bubba's Medicine Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851371033
- **Authorized official:** JEFF JERKINS (PHARMACIST/NEW OWNER)
- **Authorized official phone:** (334) 749-3426

## Contact information

- **Practice address:** 512 2ND AVE, OPELIKA, AL 36801-4316
- **Practice address phone:** (334) 749-3426
- **Practice address fax:** (334) 742-0757
- **Mailing address:** 512 2ND AVE, OPELIKA, AL 36801-4316
- **Mailing address phone:** (334) 749-3426
- **Mailing address fax:** (334) 742-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 101890 | AL | Yes |

## Other

- **Enumeration date:** 01/22/2006
- **Last updated:** 02/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117023 | — | AL |
| 05 | — | 125867 | — | AL |
| 01 | — | 2123486 | PK | — |