Individual
PROF. CAROL ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
32001 JOHN R RD, MADISON HEIGHTS, MI 48071-1322
(248) 585-4716
(248) 585-4716
Mailing address
32001 JOHN R RD, MADISON HEIGHTS, MI 48071-1322
(248) 585-4716
(248) 585-4716
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027855
MI
Other
Enumeration date
07/04/2011
Last updated
11/13/2011
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