DR. Jackson Blake Holland, PHARMD

NPI #1912652108 in Calhoun, Georgia

Provider Information

NPI Number: 1912652108
Entity Type: Individual
Name: DR. Jackson Blake Holland, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 16, 2022
Last Updated: Feb 16, 2022

Practice Location

Address: 450 RED BUD RD NE
City: Calhoun
State: Georgia
ZIP Code: 30701-1959
Phone: (706) 629-2426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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