<Unavail>
LBN: Jackson Clinic Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Jackson Clinic Pharmacy Inc can be contacted via phone (731) 422-0232, or through Patton, Darlene via phone (731) 422-0232.
Contact Information
Primary practice address
616 W Forest Ave
Jackson TN 38301-3902
Phone: (731) 422-0232
Fax: (731) 422-0389
Website:
Authorized official contact:
Name: Patton, Darlene Doctor of Public Health (DPH)
Phone: (731) 422-0232
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | 454 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1477668416 |
|---|---|
| LBN Legal business name | Jackson Clinic Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Patton, Darlene Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jun 12th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477668416 | NPPES |
| Other | 2095588 | PK |
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