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Individual

DR. ERIC ALLEN JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-6533
(860) 714-8079
Mailing address
137 MAIN ST, COLLINSVILLE, CT 06019-3135
(860) 693-4671

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
4920
CT

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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