Organization
JACKSON'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH JACKSON MOORE PHARMD (OWNER/PHARMACIST)
(870) 561-3032
Entity
Organization
Contact information
Practice address
434 HWY. 18, STE. C, MANILA, AR 72442
(870) 561-3032
(870) 561-3035
Mailing address
PO BOX 1364, 434 HWY. 18 STE. C, MANILA, AR 72442
(870) 561-3032
(870) 561-3035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09867
AR
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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