Mt Jackson Drug Store INC
NPI #1346322120 in Mount Jackson, Virginia
Provider Information
- NPI Number
- 1346322120
- Entity Type
- Organization
- Organization Name
- Mt Jackson Drug Store INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Aug 16, 2016
Practice Location
- Address
- 5350 MAIN ST
- City
- Mount Jackson
- State
- Virginia
- ZIP Code
- 22842-9511
- Phone
- (540) 477-3101
Authorized Official
- Name
- JAMES FANSLER
- Title
- PRESIDENT OWNER
- Phone
- (540) 477-3101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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