Individual
DR. ANDY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5523 BRUSHY FORK RD, BATAVIA, OH 45103-8511
(513) 625-1368
Mailing address
5523 BRUSHY FORK RD, BATAVIA, OH 45103-8511
(513) 625-1368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03129737
OH
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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