Individual
DR. MARY ELIZABETH JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-4977
Mailing address
PO BOX 495, INDIAN HILLS, CO 80454-0495
(303) 885-4333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
044942
MO
183500000X
Pharmacist
Primary
13642
CO
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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