Individual
JENNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., R.PH.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 594-2999
Mailing address
910 PATRIOT DR APT 208, MANKATO, MN 56001-2857
(612) 749-3915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126146
MN
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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