Organization
JERKINS INC
Active
Other names
The Apothecary Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF D JERKINS (PRESIDENT/OWNER)
(334) 749-3426
Entity
Organization
Contact information
Practice address
1405 GILMER AVE, TALLASSEE, AL 36078-2321
(334) 283-3120
(334) 283-3126
Mailing address
1405 GILMER AVE, TALLASSEE, AL 36078
(334) 283-3120
(334) 283-3126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112769
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133607
NCPDP
—
01
—
2136830
PK
—
Enumeration date
06/10/2006
Last updated
11/11/2024
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