Individual
DR. BRIAN LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5780 TERRY RD, BYRAM, MS 39272-9745
(601) 346-2553
Mailing address
500 NORTHPOINTE PKWY APT 316, JACKSON, MS 39211-1606
(228) 209-4624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12966
MS
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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