Individual
JASMINE DEARIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13022 LAKE ERIE LN, CHARLOTTE, NC 28273-7146
(336) 789-2060
Mailing address
13022 LAKE ERIE LN, CHARLOTTE, NC 28273-7146
(318) 936-1659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30365
NC
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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