Jessica Jackson

NPI #1063051985 in Coralville, Iowa

Provider Information

NPI Number: 1063051985
Entity Type: Individual
Name: Jessica Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 1914 8TH ST
City: Coralville
State: Iowa
ZIP Code: 52241-1612
Phone: (319) 381-3880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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