Organization
JACKSON CLINIC PHARMACY INC
Active
Other names
Jackson Clinic Innovation Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MICHELLE KING PHARMD (DIRECTOR OF PHARMACY)
(731) 422-0247
Entity
Organization
Contact information
Practice address
145 INNOVATION DR, JACKSON, TN 38305-3019
(731) 422-0243
(731) 868-4118
Mailing address
145 INNOVATION DR, JACKSON, TN 38305-3019
(731) 422-0247
(731) 868-4118
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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