Individual
MRS. ERIN DORAINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CDM
Contact information
Practice address
1620 N WHITLEY DR, FRUITLAND, ID 83619-2129
(208) 452-7075
(208) 452-7446
Mailing address
1118 NW 16TH ST # 150, FRUITLAND, ID 83619-2271
(208) 452-7075
(208) 452-7446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011841
OR
183500000X
Pharmacist
16162
NV
183500000X
Pharmacist
9031849-1701
UT
183500000X
Pharmacist
Primary
P5601
ID
Other
Enumeration date
10/09/2007
Last updated
08/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us