Charles Andrew Jackson

NPI #1194078444 in Galveston, Texas

Provider Information

NPI Number: 1194078444
Entity Type: Individual
Name: Charles Andrew Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 2931 CENTRAL CITY AVENUE
City: Galveston
State: Texas
ZIP Code: 77551
Phone: (409) 740-2488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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