Individual
KASEY LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
(980) 442-3083
(980) 442-3002
Mailing address
2300 SOUTH BLVD APT 155, CHARLOTTE, NC 28203-6462
(843) 845-2359
(980) 442-3002
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
25151
NC
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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