Individual
MISS BROOKE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 BRADSHAW AVE, EAST LIVERPOOL, OH 43920-3240
(330) 386-6210
Mailing address
14601 OLD FREDERICKTOWN RD, EAST LIVERPOOL, OH 43920-9526
(330) 383-6670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233637
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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