Individual
MR. JACKSON WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4401 WADSWORTH BLVD, WHEAT RIDGE, CO 80033-3302
(303) 463-7719
Mailing address
4401 WADSWORTH BLVD, WHEAT RIDGE, CO 80033-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023369
CO
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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