Organization
JACKSON COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MERRIWETHER (MANAGING MEMBER)
(601) 983-1239
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE, SUITE 311, JACKSON, MS 39213-7681
(601) 983-1239
Mailing address
350 WOODROW WILSON AVENUE, SUITE 311, JACKSON, MS- MISSISSIPPI 39211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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