Individual
GEORGE ANTHONY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 5TH AVE, GARNER, NC 27529-3637
(919) 772-5809
Mailing address
1333 5TH AVE, GARNER, NC 27529-3637
(919) 772-5809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13903
MD
183500000X
Pharmacist
Primary
17949
NC
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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