Individual
DAVID KENNETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
625 CLARK AVENUE, SUITE 16, KING OF PRUSSIA, PA 19406
(610) 491-9700
(610) 354-0800
Mailing address
625 CLARK AVENUE, SUITE 16, KING OF PRUSSIA, PA 19406
(610) 491-9700
(610) 354-0800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP438113
PA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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