Individual
DEVEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 FAIRVIEW RD, ASHEVILLE, NC 28803-1011
(828) 298-3636
Mailing address
805 FAIRVIEW RD, ASHEVILLE, NC 28803-1011
(828) 298-3636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27176
NC
183500000X
Pharmacist
Primary
RPH029970
GA
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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