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Organization

JACKSON MADISON COUNTY GENERAL HOSPITAL

Active
Other names
Kirkland Cancer Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHERRY K OSBORNE (EXECUTIVE DIRECTOR OF PHARMACY)
(731) 541-6229
Entity
Organization

Contact information

Practice address
720 W FOREST AVE, JACKSON, TN 38301-3904
(731) 541-1725
(731) 541-1726
Mailing address
720 W FOREST AVE, JACKSON, TN 38301-3904

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5281
TN
3336C0003X
Community/Retail Pharmacy
Primary
5281
TN

Other

Enumeration date
11/07/2013
Last updated
05/18/2016
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