Organization
JACKSON FAMILY PHARMACY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA PATTON OVERTON RPH (PHARMACIST/OWNER)
(251) 246-1970
Entity
Organization
Contact information
Practice address
1201 COLLEGE AVE, JACKSON, AL 36545-2406
(251) 246-1970
(251) 246-1963
Mailing address
1201 COLLEGE AVE, JACKSON, AL 36545-2406
(251) 246-1970
(251) 246-1963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11492
AL
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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