Individual
JEROME SEAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1198 W. KEMPER ROAD, WALGREENS, CINCINNATI, OH 45224
(513) 851-0205
Mailing address
6060 WALDWAY LANE, CINCINNATI, OH 45224
(513) 542-1706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03217734
OH
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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