Individual
JACKIE POIROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2603 OAK LAWN AVE, SUITE 400, DALLAS, TX 75219-4021
(214) 252-1984
Mailing address
2603 OAK LAWN AVE, SUITE 400, DALLAS, TX 75219-4021
(214) 252-1984
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
27981
TX
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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