Organization · NPI-2

Jackson Hospital & Clinic, INC.

Pharmacy, Community/Retail Pharmacy · Prattville, AL

NPI number1376137984
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1376137984
Entity type
Organization (NPI-2)
Legal business name
Jackson Hospital & Clinic, INC.
Organization subpart
Yes
Enumeration date
Feb 24, 2021
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Jackson Apothecary, LLC (Doing Business As)

Practice location

1842 East Main Street
Prattville, AL 36066

Phone 334-293-6899

Mailing address

1842 East Main Street
Prattville, AL 36066

Phone 334-293-6899

Authorized official

Richard F Mann
Business Office Director
3342938820

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