Individual
MR. JOHN MICHAEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1000 CASTLEBAY, CINCINNATI, OH 45245-4910
(513) 739-3784
Mailing address
1000 CASTLEBAY, CINCINNATI, OH 45245-4910
(513) 739-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03215600
OH
Other
Enumeration date
04/18/2012
Last updated
07/27/2016
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