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Jackson Drug Co — NPI 1053456889, Jackson, MN | NPI Central

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NPI 1053456889

OrganizationActive

Jackson Drug Co

NPI 1053456889 · Community/Retail Pharmacy · Jackson, MN

Provider details

NPI number: 1053456889
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Lance Edlin, Owner(507) 847-3161

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000XLicense 22124900 (MN)
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Long Term Care Pharmacy3336L0003X
Suppliers
Managed Care Organization Pharmacy3336M0003X
Suppliers

Practice location

506 2nd St

Jackson, MN 56143-0233

Phone: (507) 847-3161

Fax: (507) 847-2480

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

506 2nd St

Jackson, MN 56143-0233

Other names (DBA / former)

Doing business as: Jackson Drug

Registry dates

Enumerated: 2007-02-20
Last updated: 2007-08-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.