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Individual

DR. ADAM RUSSELL JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-0999
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-0999
(740) 773-1141
(740) 772-7138

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-25311
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03-2-25311
OH

Other

Enumeration date
10/02/2006
Last updated
04/17/2026
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