Individual
DR. ERIC LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
250 E 4TH ST, EUREKA, MO 63025-1953
(636) 938-5635
(636) 938-5752
Mailing address
250 E 4TH ST, EUREKA, MO 63025-1953
(636) 938-5635
(636) 938-5752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007025922
MO
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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