Individual
FAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
102 N 27TH ST, ARKADELPHIA, AR 71923-4233
(870) 464-9560
(870) 464-9561
Mailing address
2149 HASLEY RD, ARKADELPHIA, AR 71923-8858
(501) 297-0091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD17450
AR
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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