Individual
RYAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
960 ROSS ST, HEFLIN, AL 36264-1164
(256) 463-2188
Mailing address
960 ROSS ST, HEFLIN, AL 36264-1164
(256) 463-2188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15524
AL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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