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Individual
DR. ARCHIBALD J JACKSON II
Active
Individual
DR. ARCHIBALD J JACKSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17147
FL
1835N1003X
Nutrition Support Pharmacist
17147
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
17147
FL
1835P1200X
Pharmacotherapy Pharmacist
17147
FL
Other
Enumeration date
10/19/2006
Last updated
12/30/2009
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