Organization
JACKSON APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD JACKSON PHARM D (MEMBER)
(205) 422-8114
Entity
Organization
Contact information
Practice address
12755 HWY 22E, NEW SITE, AL 36256-3625
(205) 422-8114
Mailing address
3633 ALTADENA DR, VESTAVIA, AL 35243-2229
(205) 422-8114
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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