Individual
WENDY MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
1507 W 51ST ST, SIOUX FALLS, SD 57105-6648
(605) 338-7007
(800) 547-7304
Mailing address
PO BOX 466, 108 GRAND AVE, HARRISBURG, SD 57032-0466
(712) 899-2486
(800) 547-7304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12818
NE
183500000X
Pharmacist
19497
IA
183500000X
Pharmacist
Primary
5187
SD
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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