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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