Individual
TARA B JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
Mailing address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
16335
NC
Other
Enumeration date
11/11/2020
Last updated
02/20/2025
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