Organization · Type 2 NPI

Jackson LTC Pharmacy Inc.

Long Term Care Pharmacy · San Jose, CA

NPI number 1992020028 Active

Practice location

266 N Jackson Ave, 8B
San Jose, CA 95116-1606

Fax (404) 251-7007

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1992020028

Jackson LTC Pharmacy Inc.'s National Provider Identifier is 1992020028, issued on Mar 31, 2010. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in San Jose, CA. The record was last updated on Oct 14, 2010.