Individual
CLARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 E SAN MARNAN DR, WATERLOO, IA 50702-4307
(319) 235-6248
Mailing address
1825 E SAN MARNAN DR, WATERLOO, IA 50702-4307
(319) 235-6248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16838
IA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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