Individual
JULIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
310 NW WARD RD, LEES SUMMIT, MO 64081
(816) 554-2211
(816) 554-5086
Mailing address
310 NW WARD RD, LEES SUMMIT, MO 64081
(816) 554-2211
(816) 554-2086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007026591
MO
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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