MICHAEL W. JACKSON, A SOLE PROPRIETOR

Pharmacy - Community/Retail Pharmacy

Active Organization
NPI: 1538278478

Practice Address

104 E COLUMBIA ST
San Augustine, TX 75972

Phone: (936) 275-3401

Specialties

Specialty Code Primary License
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 13848 (TX)

Frequently Asked Questions

NPI 1538278478 is the National Provider Identifier for MICHAEL W. JACKSON, A SOLE PROPRIETOR, a Pharmacy - Community/Retail Pharmacy provider located in San Augustine, TX. This NPI was enumerated on August 30, 2006.

Quick Facts

NPI
1538278478
Type
Organization
Enumerated
Aug 30, 2006
Last Updated
Jun 12, 2015

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