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Jacksonville Pharmacy LLC — NPI 1407022700, Jacksonville, OR | NPI Central

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NPI 1407022700

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Jacksonville Pharmacy LLC

NPI 1407022700 · Pharmacy · Jacksonville, OR

Provider details

NPI number: 1407022700
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: James Johnson, Owner
License: RP002114CS (OR)

Practice location

725 N 5th St Ste 100

Jacksonville, OR 97530-9874

Phone: (541) 899-7948

Fax: (541) 899-7946

More OR providers

Mailing address

725 N 5th St Ste 100

Jacksonville, OR 97530-9874

Registry dates

Enumerated: 2008-05-06
Last updated: 2008-05-06

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