Individual
MR. KIRK GORDON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7923 E MCDOWELL RD, SCOTTSDALE, AZ 85257-3747
(480) 874-9830
(480) 941-3961
Mailing address
7923 E. MCDOWELL, SCOTTSDALE, AZ 85257
(480) 874-9830
(480) 941-3961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S009706
AZ
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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