Organization
JACKSON DRUG CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT JACKSON RPH (PRES)
(706) 857-2731
Entity
Organization
Contact information
Practice address
10077 COMMERCE ST, SUMMERVILLE, GA 30747-1356
(706) 857-2731
(706) 857-1773
Mailing address
PO BOX 120, SUMMERVILLE, GA 30747-0120
(706) 857-2731
(706) 857-1773
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004184
GA
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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