Charles Leslie Jackson, RPH

NPI #1205388162 in Texarkana, Arkansas

Provider Information

NPI Number: 1205388162
Entity Type: Individual
Name: Charles Leslie Jackson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 26, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 100 EAST ST
City: Texarkana
State: Arkansas
ZIP Code: 71854-6304
Phone: (870) 772-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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