Organization
ATHENS CREEKSIDE DRUGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KENT JACKSON (OWNER/PHARMACIST)
(256) 232-8274
Entity
Organization
Contact information
Practice address
605 US HIGHWAY 31 S, SUITE D, ATHENS, AL 35611-3645
(256) 232-8274
(256) 232-2029
Mailing address
605 US HIGHWAY 31 S, SUITE D, ATHENS, AL 35611-3645
(256) 232-8274
(256) 232-2029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111879
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10003175
—
AL
Enumeration date
08/29/2006
Last updated
01/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us