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655 Lexington Ave Jackson TN 38301-5075 | |
| (731) 213-6900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pharmacy - Community/retail Pharmacy |
| Location | 655 Lexington Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Tracy Mcdaniel (CEO) |
| Authorized Official Contact | 9018423160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2670 Union Avenue Ext Ste 1000 Memphis TN 38112-4416 Ph: (901) 842-3160 | 655 Lexington Ave Jackson TN 38301-5075 Ph: (731) 213-6900 |
| NPI Number | 1558028670 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558028670 | NPI | - | NPPES |
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