Individual
MR. WILL DAVID JACKS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
875 ROSS ST, HEFLIN, AL 36264-1131
(256) 463-2197
(256) 463-2306
Mailing address
875 ROSS ST, HEFLIN, AL 36264-1131
(256) 463-2197
(256) 463-2306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15073
AL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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