Nicholas Dwayne Jackson, PHARMD

NPI #1528670916 in Coeburn, Virginia

Provider Information

NPI Number
1528670916
Entity Type
Individual
Name
Nicholas Dwayne Jackson, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 18, 2020
Last Updated
Aug 18, 2020

Practice Location

Address
201 LAUREL AVE
ZIP Code
24293
Phone
(276) 807-7106

Specialties & Taxonomy Codes

Specialty
Pharmacist

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