Individual
MARIE-THERESE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PS41879
FL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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