Individual
DR. MITCHELL ANDREW JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4808 N HOPKINS ST, MILWAUKEE, WI 53209-5328
(414) 462-4310
Mailing address
133 N JACKSON ST, #432, MILWAUKEE, WI 53202-6154
(608) 220-7661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16867-40
WI
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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