Organization
JERKINS INC
Active
Other names
Bubba's Medicine Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D JERKINS (CEO)
(334) 749-3426
Entity
Organization
Contact information
Practice address
512 2ND AVE, OPELIKA, AL 36801-4316
(334) 749-3426
(334) 742-0757
Mailing address
2263 POTOMAC CT, AUBURN, AL 36830-4261
(334) 826-6194
(334) 742-0757
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101890
AL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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