Organization
JACKSON'S ROCKY RIDGE PHARMACY, INC
Active
Other names
rocky ridge pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD F JACKSON PHARM D (PRESIDENT)
(205) 822-5200
Entity
Organization
Contact information
Practice address
3346 MORGAN DR, BIRMINGHAM, AL 35216-3052
(205) 822-5200
(205) 979-3666
Mailing address
3346 MORGAN DR, BIRMINGHAM, AL 35216-3052
(205) 822-5200
(205) 979-3666
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
111519
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102018
NCPDP
AL
05
—
100003250
—
AL
Enumeration date
06/15/2005
Last updated
05/12/2008
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