DR. Andy Jackson, PHARMD

NPI #1790195279 in Batavia, Ohio

Provider Information

NPI Number: 1790195279
Entity Type: Individual
Name: DR. Andy Jackson, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 6, 2014
Last Updated: May 6, 2014

Practice Location

Address: 5523 BRUSHY FORK RD
City: Batavia
State: Ohio
ZIP Code: 45103-8511
Phone: (513) 625-1368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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