Individual
IMANI A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
631 MANTUA PIKE, WEST DEPTFORD, NJ 08096-3234
(856) 848-3129
Mailing address
1 MARKET ST APT 503, CAMDEN, NJ 08102-2319
(215) 617-8581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03846000
NJ
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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