Douglas Ray Jackson, RPH

NPI #1427394147 in Creston, Iowa

Provider Information

NPI Number
1427394147
Entity Type
Individual
Name
Douglas Ray Jackson, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Dec 27, 2012
Last Updated
Dec 27, 2012

Practice Location

Address
600 SHELDON ST
State
Iowa
ZIP Code
50801-3322
Phone
(641) 782-8417

Specialties & Taxonomy Codes

Specialty
Pharmacist

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