Provider First Line Business Practice Location Address:
JACKSON HOSPITAL AND CLINIC DEPT. OF PHARMACY
Provider Second Line Business Practice Location Address:
1725 PINE STREET
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-293-8778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2006