Individual
MRS. ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1260 WASHINGTON ST, BLAIR, NE 68008-1732
(402) 533-8444
(402) 533-8480
Mailing address
1260 WASHINGTON ST, BLAIR, NE 68008-1732
(402) 533-8444
(402) 533-8480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12707
NE
183500000X
Pharmacist
20566
IA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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