Jeffrey Scott Jackson
Pharmacy, Community/Retail Pharmacy in Lake Toxaway, NC. Organization (NPI-2).
NPI number1932264355
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1932264355
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey Scott Jackson
- Organization subpart
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 06268 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Toxaway Pharmacy (Doing Business As)
Practice location
16821 Rosman HwyLake Toxaway, NC 28747-9593
Phone 828-884-3784 · Fax 828-884-3792
Mailing address
16821 Rosman HwyLake Toxaway, NC 28747-9593
Phone 828-884-3784 · Fax 828-884-3792
Authorized official
Jeffrey Jackson
Owner
8288843784
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