Individual
JACKIE LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-5010
(785) 505-5201
Mailing address
545 ARROWHEAD DR, LAWRENCE, KS 66049-1884
(785) 550-4153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14831
KS
Other
Enumeration date
01/26/2018
Last updated
06/16/2018
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