Jackson North Clinic Pharmacy
LBN: Jackson Clinic Pharmacy Inc
Jackson North Clinic Pharmacy is an health care organization with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jackson Clinic Pharmacy Inc can be contacted via phone (731) 664-8046, or through Gray Hunderup, Jean via phone (731) 664-8046.
Contact Information
Primary practice address
2863 Highway 45 Byp
Jackson TN 38305-3618
Phone: (731) 664-8046
Fax: (731) 660-8339
Website:
Authorized official contact:
Name: Gray Hunderup, Jean Doctor of Public Health (DPH)
Phone: (731) 664-8046
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2987 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1831228618 |
|---|---|
| LBN Legal business name | Jackson Clinic Pharmacy Inc |
| DBA Doing business as | Jackson North Clinic Pharmacy |
| Authorized official | Gray Hunderup, Jean Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 29th, 2015 - about 9 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 | 1831228618 | NPPES |
| Other | 2091766 | PK |
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