Organization
JPWC LLC
Active
Other names
Jackson Pharmacy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON HAAS PHARMD (PRESIDENT)
(937) 596-8100
Entity
Organization
Contact information
Practice address
101B E PIKE ST, JACKSON CENTER, OH 45334-6000
(937) 596-8100
(937) 596-8108
Mailing address
PO BOX 882, JACKSON CENTER, OH 45334-0882
(937) 596-8100
(937) 596-8108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022374400
OH
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098109
—
OH
01
—
2144291
PK
—
Enumeration date
02/13/2014
Last updated
09/30/2019
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