Jackson Pharmacy Services, NPI 1841238300
Long Term Care Pharmacy in Jackson, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1841238300
NPI Entity Type Organization
Provider Name Jackson Pharmacy Services
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 22 Mulberry St., Jackson, GA, US
Provider Mailing Address 22 Mulberry St., Jackson, GA, US, 30233
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Stacey Marie Patterson
Official Position MANAGER/OWNER
Phone 770-775-7813

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHRE002860
License State GA
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Patterson Drugs Inc
Former Legal Business Name

Business Address

Jackson Pharmacy Services
22 Mulberry St.

Jackson, GA, US

Phone: 770-775-7813
Fax: 700-775-7171

Mailing Address

Jackson Pharmacy Services
22 Mulberry St.
Jackson, GA, US
ZIP 30233
Phone: 770-775-7813
Fax: 700-775-7171

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

No

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