Individual
SHAUNDA LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19250 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-2279
(281) 541-6265
Mailing address
19250 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-2279
(281) 541-6265
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
34150
TX
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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