Individual
HOLLY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 241-2220
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60001551
WA
Other
Enumeration date
05/29/2008
Last updated
05/06/2021
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