Patterson Drugs Inc

LBN: Jackson Pharmacy Services
Patterson Drugs Inc is an health care organization with primary practice located at 22 Mulberry St. , Jackson GA 30233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Jackson Pharmacy Services can be contacted via phone (770) 775-7813, or through Patterson, Stacey Marie via phone (770) 775-7813.

Contact Information

Primary practice address
22 Mulberry St. Jackson GA 30233
Phone: (770) 775-7813
Fax: (700) 775-7171
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Stacey Marie
Phone: (770) 775-7813

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE002860 Georgia

Profile Details

NPI number 1841238300
LBN Legal business name Jackson Pharmacy Services
DBA Doing business as Patterson Drugs Inc
Authorized official Patterson, Stacey Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jan 9th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841238300 NPPES
Georgia MEDICAID 00520704A

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