Monique Jackson, PHARMD
NPI #1154606994 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1154606994
- Entity Type
- Individual
- Name
- Monique Jackson, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Oct 12, 2011
- Last Updated
- Jul 20, 2012
Practice Location
- Address
- 6730 BLUFFTON RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46809-2649
- Phone
- (260) 747-7563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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