Jacksons Discount Pharmacy
LBN: Jacksons Discount Pharmacy Inc
Jacksons Discount Pharmacy is an health care organization with primary practice located at 11340 Three Rivers Rd Ste A, Gulfport MS 39503-3660. 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.
Jacksons Discount Pharmacy Inc can be contacted via phone (228) 832-8000, or through Jackson, Gary via phone (228) 832-8000.
Contact Information
Primary practice address
11340 Three Rivers Rd Ste A
Gulfport MS 39503-3660
Phone: (228) 832-8000
Fax: (228) 832-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 02264/1.1 | Mississippi |
Profile Details
| NPI number | 1326084831 |
|---|---|
| LBN Legal business name | Jacksons Discount Pharmacy Inc |
| DBA Doing business as | Jacksons Discount Pharmacy |
| Authorized official | Jackson, Gary RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 19th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326084831 | NPPES |
| Other | 2045339 | PK | |
| MEDICAID | 00030343 | PK |
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