Organization
JACKSON PHARMACY INC
Active
Organization
JACKSON PHARMACY INC
Active
Other names
Medicenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOMMER (PRESIDENT)
(314) 965-4700
Entity
Organization
Contact information
Practice address
200 W WASHINGTON ST, JACKSON, MO 63755-1858
(573) 243-1303
(573) 243-1254
Mailing address
755 S NEW BALLAS RD STE 260, SAINT LOUIS, MO 63141-8744
(314) 965-4700
(314) 965-4706
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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