Organization
JACKSON DIABETES CARE AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L JACKSON PHARMD (PHARMACIST)
(662) 304-0181
Entity
Organization
Contact information
Practice address
2610 TRACELAND DR STE A, TUPELO, MS 38801-4237
(662) 681-6358
Mailing address
2610 TRACELAND DR STE A, TUPELO, MS 38801-4237
(662) 681-6358
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
E-09982
MS
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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