Organization · NPI-2

Jackson Hospital And Clinic, INC

Pharmacy, Specialty Pharmacy · Prattville, AL

NPI number1922848803
StatusActive
Last updated in NPPESMay 29, 2024

Details

NPI
1922848803
Entity type
Organization (NPI-2)
Legal business name
Jackson Hospital And Clinic, INC
Organization subpart
No
Enumeration date
May 29, 2024
Certification date
May 23, 2024
Last updated
May 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336S0011X Pharmacy, Specialty Pharmacy––Yes

Other names

  • Jackson Apothecary Specialty (Doing Business As)

Practice location

1842 E Main St
Prattville, AL 36066-5500

Phone 334-293-6899

Mailing address

1842 E Main St
Prattville, AL 36066-5500

Phone 334-293-6899

Authorized official

Steven Payne
Pharmacy Manager
3342936899

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