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Individual

ANTHONY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
1017 ELLINGTON ST, DELANO, CA 93215-2621
(415) 845-6917
(661) 725-3645
Mailing address
1017 ELLINGTON ST, DELANO, CA 93215-2621
(415) 845-6917
(661) 725-3645

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
40498
CA

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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