Individual
DR. JEFF JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2013 LANTERN RIDGE DR, RICHMOND, KY 40475-6010
(859) 575-5033
(859) 575-5065
Mailing address
2013 LANTERN RIDGE DR, RICHMOND, KY 40475-6010
(859) 575-5033
(859) 575-5065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011557
KY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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