Individual
CHARLES ANDREW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2931 CENTRAL CITY AVENUE, GALVESTON, TX 77551
(409) 740-2488
(409) 740-8320
Mailing address
3663 BRIARPARK DR, HOUSTON, TX 77042-5205
(713) 268-3630
(623) 869-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26111
TX
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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