Organization
JACKSON DISCOUNT DRUG INC
Active
Other names
jackson discount drug inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD F JACKSON (OWNER PHARMACIST)
(256) 234-2538
Entity
Organization
Contact information
Practice address
1974 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-2578
(256) 234-0042
Mailing address
1974 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-2578
(256) 234-0042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6844
AL
3336C0003X
Community/Retail Pharmacy
Primary
105545
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110685
NABP NCPDP NUMBER
AL
05
—
100001971
—
AL
05
—
226027
—
AL
Enumeration date
01/23/2007
Last updated
02/01/2022
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