Individual
DR. JACQUELINE E GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 PELHAM RD S, JACKSONVILLE, AL 36265-3021
(256) 435-2095
(256) 435-8774
Mailing address
363 LAKEVIEW ST, STEELE, AL 35987-2222
(256) 390-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14872
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14872
BOARD OF PHARMACY
AL
Enumeration date
11/16/2020
Last updated
11/16/2020
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