Individual
CARIM JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 RETAIL DR, WAKE FOREST, NC 27587-7353
(919) 761-1002
Mailing address
12000 RETAIL DR, WAKE FOREST, NC 27587-7353
(919) 761-1002
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
36309
NC
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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