Individual
JACK CLIFFORD GOLDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3700 US HWY 280/431N, PHENIX CITY, AL 36867
(334) 291-1814
(334) 291-0773
Mailing address
107 LEE ROAD 545, SMITHS STATION, AL 36877-4616
(334) 291-1814
(334) 291-0773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10376
AL
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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