Penny Jackson, RPH

NPI #1770925505 in Clinton, Indiana

Provider Information

NPI Number: 1770925505
Entity Type: Individual
Name: Penny Jackson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 22, 2013
Last Updated: Jul 22, 2013

Practice Location

Address: 801 S MAIN ST
City: Clinton
State: Indiana
ZIP Code: 47842-2261
Phone: (765) 832-1224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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