Jackson Wimberly

NPI #1063017713 in Rogers, Arkansas

Provider Information

NPI Number: 1063017713
Entity Type: Individual
Name: Jackson Wimberly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 1749 W WALNUT ST
City: Rogers
State: Arkansas
ZIP Code: 72756-3323
Phone: (479) 246-0871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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