MR. Clarence Rhea Jackson

NPI #1487976288 in Goodlettsville, Tennessee

Provider Information

NPI Number: 1487976288
Entity Type: Individual
Name: MR. Clarence Rhea Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 19, 2010
Last Updated: Feb 19, 2010

Practice Location

Address: 230 LONG HOLLOW PIKE
City: Goodlettsville
State: Tennessee
ZIP Code: 37072-1880
Phone: (615) 859-3498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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