Individual
MRS. CYNTHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2801 SHARKYS DR, LATROBE, PA 15650-4231
(724) 539-8467
(724) 537-3096
Mailing address
2801 SHARKYS LN, LATROBE, PA 15650
(724) 539-8467
(724) 537-3096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP1002105
PA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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