Individual
CRAIG ALAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10710 W MCDOWELL RD, AVONDALE, AZ 85392-5958
(623) 936-7234
Mailing address
10710 W MCDOWELL RD, AVONDALE, AZ 85392-5958
(623) 936-7234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012834
AZ
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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