Jackson Discount Drug Inc
LBN: Jackson Discount Drug Inc
Jackson Discount Drug Inc is an health care organization with primary practice located at 1974 Cherokee Rd , Alexander City AL 35010-3437. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jackson Discount Drug Inc can be contacted via phone (256) 234-2578, or through Jackson, Brad F via phone (256) 234-2538.
Contact Information
Primary practice address
1974 Cherokee Rd
Alexander City AL 35010-3437
Phone: (256) 234-2578
Fax: (256) 234-0042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6844 | Alabama |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 105545 | Alabama |
Profile Details
| NPI number | 1124173190 |
|---|---|
| LBN Legal business name | Jackson Discount Drug Inc |
| DBA Doing business as | Jackson Discount Drug Inc |
| Authorized official | Jackson, Brad F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Feb 1st, 2022 - about 2 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 | 1124173190 | NPPES |
| Alabama | MEDICAID | 226027 | |
| Alabama | MEDICAID | 100001971 | |
| Alabama | Other | 0110685 |
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