Jackson Clinic Pharmacy

LBN: Jackson Clinic Pharmacy Inc
Jackson Clinic Pharmacy 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:
Map and Directions
Authorized official contact:
Name: Patton, Darlene Doctor of Public Health (DPH)
Phone: (731) 422-0232

Health care specialties

SpecialtyCodeLicense #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 Jackson Clinic Pharmacy
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 11 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 1477668416 NPPES
Other 2095588 PK

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