Individual
DR. LUENETTA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., MBA
Contact information
Practice address
38853 LANCASTER DR, FARMINGTON HILLS, MI 48331-1623
(586) 536-9449
(248) 788-4823
Mailing address
38853 LANCASTER DR, FARMINGTON HILLS, MI 48331-1623
(586) 536-9449
(248) 788-4823
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302029226
MI
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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