Craig Alan Jackson

NPI #1750612586 in Avondale, Arizona

Provider Information

NPI Number: 1750612586
Entity Type: Individual
Name: Craig Alan Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 18, 2010
Last Updated: Jan 18, 2010

Practice Location

Address: 10710 W MCDOWELL RD
City: Avondale
State: Arizona
ZIP Code: 85392-5958
Phone: (623) 936-7234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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