MR. Igdaliah Jackson, PHARM D

NPI #1700210184 in Eddystone, Pennsylvania

Provider Information

NPI Number: 1700210184
Entity Type: Individual
Name: MR. Igdaliah Jackson, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 1207B CHESTER PIKE
City: Eddystone
State: Pennsylvania
ZIP Code: 19022-1332
Phone: (610) 333-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X

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