Individual
JKIYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13503 W CAMINO DEL SOL, SUN CITY WEST, AZ 85375-4138
(623) 584-0501
Mailing address
16485 N STADIUM WAY UNIT 2030, SURPRISE, AZ 85374-4384
(601) 259-7217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026604
AZ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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