Organization
JACKSON DRUGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKASH RAMLAGAN RPH (OWNER)
(772) 464-3784
Entity
Organization
Contact information
Practice address
2301 OKEECHOBEE RD, FORT PIERCE, FL 34950-6554
(772) 464-3784
(772) 467-9153
Mailing address
2301 OKEECHOBEE RD, FORT PIERCE, FL 34950-6554
(772) 464-3784
(772) 467-9153
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PH6577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032250
PHARMACY
FL
05
—
103687400
—
FL
05
—
110883600
—
FL
Enumeration date
02/15/2007
Last updated
09/09/2021
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