Individual
DR. ARCHIBALD J JACKSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
26492 CLYDESDALE LN, RANCHO BELAGO, CA 92555-3331
(714) 926-2292
Mailing address
26492 CLYDESDALE LN, RANCHO BELAGO, CA 92555-3331
(714) 926-2292
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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