Individual
DR. EBONY CRAIG JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
SHIELDS HEALTH SOLUTIONS HQ, 100 TECHNOLOGY DRIVE, STOUGHTON, MA 02072
(781) 566-5066
Mailing address
SHIELDS HEALTH SOLUTIONS HQ, 100 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237828
MA
1835P1200X
Pharmacotherapy Pharmacist
PH237828
MA
Other
Enumeration date
11/02/2017
Last updated
09/07/2023
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