Individual
MR. JEFFREY SCOTT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16821 ROSMAN HWY, LAKE TOXAWAY, NC 28747-9593
(828) 884-3784
(828) 884-3792
Mailing address
426 MAPLE ST, BREVARD, NC 28712-3879
(828) 966-4462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10953
NC
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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