Organization Name: | JACKSON'S ROCKY RIDGE PHARMACY, INC |
NPI Number: | 1326043522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD F JACKSON (PRESIDENT) |
Mailing Address: | 3346 Morgan Dr Birmingham |
State: | AL US |
Postal Code: | 352163052 |
Phone Number: | 2058225200 |
Fax Number: | 2059793666 |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 111519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |