Individual
DR. ANTHONY SHANE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
6001 WEBB RD, TAMPA, FL 33615-3241
(813) 329-6062
Mailing address
2593 GRAND LAKESIDE DR, PALM HARBOR, FL 34684-1013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS36016
FL
1835N1003X
Nutrition Support Pharmacist
PS36016
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS36016
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS36016
FL
Other
Enumeration date
04/29/2008
Last updated
02/01/2021
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