NPI 1023614724
Northtown Pharmacy LLC
Practice location
- Address
- 6220 Old Canton Rd, Jackson, MS 39211-2924
- Phone
- (601) 665-4694
- Fax
- (769) 333-9173
Authorised official
- Name
- Andrew Clark
- Title
- Ceo/Founder
- Phone
- (601) 665-4694
Registered specialties (2)
Pharmacy
Primary
Community/Retail Pharmacy
Registry record
- NPI
- 1023614724
- Entity type
- Organization
- NPI issued
- 8 Dec 2020
- Record last updated
- 7 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.