Individual
JAMES D JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
28271 HIGHWAY 15, WALNUT, MS 38683-8930
(662) 223-4727
(662) 223-5899
Mailing address
1040 COUNTY ROAD 225, WALNUT, MS 38683-9279
(662) 223-6659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08477
MS
Other
Enumeration date
03/22/2007
Last updated
12/13/2017
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