Organization
JACKS ENTERPRISES INC
Active
Other names
JACK'S DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ABBIE DAVIS PHARMD (PHARMACIST)
(334) 983-4191
Entity
Organization
Contact information
Practice address
15073 S US HIGHWAY 231, MIDTOWN SHOPPING CENTER, MIDLAND CITY, AL 36350-6305
(334) 983-4191
(334) 983-5178
Mailing address
15073 S US HIGHWAY 231, MIDLAND CITY, AL 36350-6305
(334) 983-4191
(334) 983-5178
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002671
—
AL
01
—
1993443
PK
—
Enumeration date
12/12/2006
Last updated
10/26/2021
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