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Individual

DARCY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2485 POSSUM RUN RD, MANSFIELD, OH 44903-9447
(419) 756-7177
Mailing address
619 COUNTRY CLUB LN, ASHLAND, OH 44805-4238
(216) 402-2683

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03131977
OH

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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