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Organization

JACKSON PHARMACY SERVICES

Active
Other names
Patterson Drugs Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY MARIE PATTERSON (MANAGER/OWNER)
(770) 775-7813
Entity
Organization

Contact information

Practice address
22 MULBERRY ST., JACKSON, GA 30233
(770) 775-7813
(700) 775-7171
Mailing address
22 MULBERRY ST., JACKSON, GA 30233
(770) 775-7813
(700) 775-7171

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
PHRE002860
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00520704A
GA
Enumeration date
06/04/2006
Last updated
01/09/2020
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