Individual
DR. MARCUS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
518 DONELSON PIKE, NASHVILLE, TN 37214-3729
(615) 883-5108
Mailing address
500 GREAT CIR APT 3315, SMYRNA, TN 37167-3168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44563
TN
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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