Jacks Drugs-Dothan

LBN: Jacks Enterprises-Dothan Inc
Jacks Drugs-Dothan is an health care organization with primary practice located at 1909 Honeysuckle Rd , Dothan AL 36305-4289. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jacks Enterprises-Dothan Inc can be contacted via phone (334) 836-0890, or through Sewell, Jacqueline via phone (334) 836-0890.

Contact Information

Primary practice address
1909 Honeysuckle Rd Dothan AL 36305-4289
Phone: (334) 836-0890
Fax: (334) 836-0894
Website:
Map and Directions
Authorized official contact:
Name: Sewell, Jacqueline
Phone: (334) 836-0890

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112613 Alabama

Profile Details

NPI number 1215098033
LBN Legal business name Jacks Enterprises-Dothan Inc
DBA Doing business as Jacks Drugs-Dothan
Authorized official Sewell, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 10th, 2012 - about 12 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 1215098033 NPPES
Other 0132857 NCPDP PROVIDER IDENTIFICATION NUMBER

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