Kelly Denise Jackson, PHARMD
NPI #1336582360 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1336582360
- Entity Type
- Individual
- Name
- Kelly Denise Jackson, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Apr 9, 2013
- Last Updated
- Apr 9, 2013
Practice Location
- Address
- 1180 CARL D SILVER PKWY
- Address 2
- T0772
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22401-4913
- Phone
- (540) 786-7957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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