Michael W. Jackson, a Sole Proprietor
Michael W. Jackson, a Sole Proprietor is a Community/Retail Pharmacy in San Augustine, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
104 E Columbia StSan Augustine, TX 75972-1902
Phone: (936) 275-3401
Fax: (936) 275-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 13848 (TX) |
|---|
Record details
| NPI number | 1538278478 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Jackson — Owner · (936) 275-3401 |
| Other names | San Augustine Drug Company |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | June 12, 2015 |
| Mailing address | 104 E Columbia St, San Augustine, TX 75972-1902 |
Other providers in San Augustine
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Health Opportunities for the People of East Texas, Inc
600 E Hospital St, San Augustine, TX 75972-2123 · (936) 730-2050