Individual
JACKSON QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1947 BLUEGRASS CIR, CHEYENNE, WY 82009-7355
(307) 635-3712
(307) 433-8229
Mailing address
1947 BLUEGRASS CIR, CHEYENNE, WY 82009-7355
(307) 635-3712
(307) 433-8229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3546
WY
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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